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Individual

JAMES ALBERT PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
97 N MAIN ST, CROSSVILLE, TN 38555-4500
(931) 484-5117
(931) 456-2710
Mailing address
687 WATERVIEW DR, CROSSVILLE, TN 38555-5707
(931) 456-4440
(931) 456-2710

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-5721
TN

Other

Enumeration date
11/09/2006
Last updated
10/30/2012
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