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Organization

PETTY ORTHOPAEDICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMON H PETTY M.D. (PRESIDENT)
(615) 620-3260
Entity
Organization

Contact information

Practice address
2021 CHURCH ST, SUITE 610, NASHVILLE, TN 37203-2021
(615) 620-3260
(615) 620-3266
Mailing address
2021 CHURCH ST STE 610, NASHVILLE, TN 37203-2059
(615) 620-3260
(615) 620-3266

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000036400
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3732245
TN
Enumeration date
09/27/2010
Last updated
03/12/2012
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