| Doctor Name: | DR. PETER MICHAEL LITCHFIELD |
| NPI Number: | 1134309990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 30027 |
| Business Practice Address: | 1019 W Oakland Ave Suite 1 Johnson City, TN - 376042357 |
| Business Phone Number: | 4239155000 |
| Business Fax Number: | 4239155045 |
| Mailing Address: | 1019 W Oakland Ave, Suite 1 JOHNSON CITY |
| State: | TN |
| Postal Code: | 376042357 |
| Phone Number: | 4239155000 |
| Fax Number: | 4239155045 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 30027 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |