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Individual

DR. DAVID GORDON PETTY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11408 KINGSTON PIKE, SUITE 400, KNOXVILLE, TN 37934-3975
(865) 671-6026
Mailing address
11408 KINGSTON PIKE, SUITE 400, KNOXVILLE, TN 37934-3975
(865) 671-6026

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14895
TN

Other

Enumeration date
06/05/2006
Last updated
01/15/2009
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