MEDICARE: DR. PETER DUNAWAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171000000X	Military Health Care Provider	MD0000030700	TN
2	207RG0100X	Gastroenterology Physician	30700	TN

General Provider Information

NPI Number	:	1811055221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER DUNAWAY MD

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5180
Country	:	US
Telephone Number	:	615-284-7224
Fax Number	:	615-806-6714

Provider Business Practice Location Address
First Line	:	2755 NEW SALEM HWY # 2A
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5253
Country	:	US
Telephone Number	:	629-218-6780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	06/04/2021

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