Provider Demographics
NPI:1871559252
Name:HALL-CURCI, PEGGY LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:LYNN
Last Name:HALL-CURCI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5080 FLORENCE RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2922
Mailing Address - Country:US
Mailing Address - Phone:615-907-5037
Mailing Address - Fax:615-962-9098
Practice Address - Street 1:4005 TRAVIS DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3704
Practice Address - Country:US
Practice Address - Phone:615-724-0865
Practice Address - Fax:615-724-0871
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA3557363A00000X
MO113768363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOS94289Medicare UPIN