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Dr. Zandra Renee Petway, MD
General Practice Physician in Brentwood, Tennessee
NPI 1265447619

Zandra Renee Petway is a General Practice Physician based in Brentwood, TN. Zandra Renee Petway practices in Brentwood, TN and has the professional credentials of MD. The NPI Number for Zandra Renee Petway is 1265447619 and holds a License No. 27699 (Tennessee).

The current practice location address for Zandra Renee Petway is 5115 Maryland Way, Brentwood, TN and can be reached out via phone at 615-943-5503 and via fax at 615-884-0219.

Location: 5115 Maryland Way, Brentwood, TN, 37024-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265447619
Provider Name
Zandra Renee Petway
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5115 Maryland Way, Brentwood, TN, 37024-2018
Phone Number
615-943-5503
Fax Number
615-884-0219
Provider Enumeration Date
07/31/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3802977 05 TN
institution
Provider Business Practice Location Address Details
Address
5115 Maryland Way
City
Brentwood
State
Tennessee
Zip
37027
Phone Number
615-943-5503
Fax Number
615-884-0219
person
Provider Business Mailing Address Details
Address
5115 Maryland Way
City
Brentwood
State
Tennessee
Zip
37027
Phone Number
615-943-5503
Fax Number
615-884-0219
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
27699 (Tennessee)
Definition
Definition to come...
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