Individual
JOSEPH C. PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR, STE 200, LENOIR CITY, TN 37772-5676
(865) 988-9970
(865) 271-6621
Mailing address
576 FORT LOUDOUN MEDICAL CENTER DR, STE 200, LENOIR CITY, TN 37772-5676
(865) 988-9970
(865) 271-6621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
53452
TN
207RC0000X
Cardiovascular Disease Physician
A120890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016720
—
TN
Enumeration date
08/03/2009
Last updated
06/24/2020
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