Individual
DR. JAN H PETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2028 W POPLAR AVE STE 112, COLLIERVILLE, TN 38017-0618
(901) 861-2526
(901) 861-2527
Mailing address
9554 FOX HILL CIR S, GERMANTOWN, TN 38139-6829
(901) 861-2526
(901) 861-2527
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17612
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073227
—
TN
Enumeration date
04/24/2006
Last updated
07/21/2022
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