Individual
DR. JEFFREY ALAN PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
250 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-3944
(865) 453-5160
(865) 453-1946
Mailing address
508 ASA ST, SEVIERVILLE, TN 37876-2912
(865) 429-7623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21927
TN
183500000X
Pharmacist
22065
GA
Other
Enumeration date
02/02/2007
Last updated
09/18/2013
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