Zandra Renee Petway Md,pc | |
457 Donelson Pike Nashville TN 37214-3561 | |
(615) 884-0215 | |
Not Available |
Full Name | Zandra Renee Petway Md,pc |
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Speciality | General Practice |
Location | 457 Donelson Pike, Nashville, Tennessee |
Authorized Official Name and Position | Zandra R Petway (OWNER) |
Authorized Official Contact | 6158840215 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Zandra Renee Petway Md,pc Po Box 2018 Brentwood TN 37024-2018 Ph: (615) 884-0215 | Zandra Renee Petway Md,pc 457 Donelson Pike Nashville TN 37214-3561 Ph: (615) 884-0215 |
NPI Number | 1669646576 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669646576 | NPI | - | NPPES |
4010427 | Other | TN | BLUECROSS BLUESHIELD |
3802977 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 27699 (Tennessee) | Primary |
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