Provider Demographics
NPI:1306439823
Name:MURDOCK, PEYTON MARGARET WEAVER (MD)
Entity type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:MARGARET WEAVER
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PEYTON
Other - Middle Name:MARGARET
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY #U-11
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-305-9230
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY #U-11
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program