Albert M Petty, M.D.
in Maryville, TN. Individual provider (NPI-1).
NPI number1881742641
StatusActive
Last updated in NPPESDec 17, 2014
Details
- NPI
- 1881742641
- Entity type
- Individual (NPI-1)
- Name
- Albert M Petty
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Dec 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 17745 | TN | Yes |
Practice location
907 E Lamar Alexander PkwyRadiation Therapy Department
Maryville, TN 37804-5015
Phone 865-977-5534
Mailing address
Po Box 1350Powell, TN 37849-1350
Phone 865-363-9248 · Fax 865-947-2960
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