Zandra Renee Petway Md Mph Pc

NPI 1952632531 - Clinic/Center - 261QP2300X

NPI Details
NPI 1952632531
Enumeration Date 01/21/2010
Last Updated 01/21/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ZANDRA RENEE ZANDRA
Position PRESIDENT
Phone (615) 837-9080
Fax
Practice Location
390 HARDING PL STE 102
NASHVILLE TN, 37211-3924, US
Phone (615) 837-9080
Fax
Business Location
390 HARDING PL STE 102
NASHVILLE TN, 37211-3924, US
Phone (615) 884-0215
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Zandra Renee Petway Md Mph Pc NPI is 1952632531, taxonomy code is 261QP2300X Zandra Renee Petway Md Mph Pc physically located at 390 Harding Pl Ste 102, Nashville TN, 37211-3924. NPI Number 1033115704 has the healthcare provider type.

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1952632531 NPI number is provided on an as is basis without warranty of any kind. 1952632531 is maintained by the National Plan & Provider Enumeration System. The contents of Zandra Renee Petway Md Mph Pc are for informational purposes only.