Organization
MICHAEL T PETTY DC PLLC
Active
Other names
Concord Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETTY D.C. (DIRECTOR)
(865) 675-5050
Entity
Organization
Contact information
Practice address
10826 KINGSTON PIKE, KNOXVILLE, TN 37934-3059
(865) 675-5050
(865) 671-1321
Mailing address
10826 KINGSTON PIKE, KNOXVILLE, TN 37934-3059
(865) 675-5050
(865) 671-1321
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
DC511
TN
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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