Zandra Renee Petway Md,pc

NPI 1669646576 - General Practice - 208D00000X

NPI Details
NPI 1669646576
Enumeration Date 04/22/2008
Last Updated 04/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ZANDRA R ZANDRA
Position OWNER
Phone (615) 884-0215
Fax
Practice Location
457 DONELSON PIKE
NASHVILLE TN, 37214-3561, US
Phone (615) 884-0215
Fax
Business Location
PO BOX 2018
BRENTWOOD TN, 37024-2018, US
Phone (615) 884-0215
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Tennessee
License Number 27699
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According to our database, Zandra Renee Petway Md,pc NPI is 1669646576, taxonomy code is 208D00000X and license number is 27699, license state is located at Tennessee. Zandra Renee Petway Md,pc physically located at 457 Donelson Pike, Nashville TN, 37214-3561. NPI Number 1033115704 has the healthcare provider type.

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1669646576 NPI number is provided on an as is basis without warranty of any kind. 1669646576 is maintained by the National Plan & Provider Enumeration System. The contents of Zandra Renee Petway Md,pc are for informational purposes only.