person
Dr. Colton Ryan Petty, MD
General Practice Physician in Knoxville, Tennessee
NPI 1629743083

Colton Ryan Petty is a General Practice Physician based in Memphis, TN. Colton Ryan Petty practices in Knoxville, TN and has the professional credentials of MD. The NPI Number for Colton Ryan Petty is 1629743083 and holds a License No. (Tennessee).

The current practice location address for Colton Ryan Petty is 1924 Alcoa Hwy # U-107, Knoxville, TN and can be reached out via phone at 901-448-5529.

Location: 1924 Alcoa Hwy # U-107, Knoxville, TN, 38103-3487
person
Provider Profile Details
NPI Number
1629743083
Provider Name
Colton Ryan Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1924 Alcoa Hwy # U-107, Knoxville, TN, 38103-3487
Phone Number
901-448-5529
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1924 Alcoa Hwy # U-107
City
State
Zip
37920-1511
Phone Number
901-448-5529
Fax Number
person
Provider Business Mailing Address Details
Address
1924 Alcoa Hwy # U-107
City
State
Zip
37920-1511
Phone Number
901-448-5529
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
68958 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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