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Individual

WILLIAM M PETRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3133
(615) 936-2000
Mailing address
121 MIDDLETON CIR, NASHVILLE, TN 37215-5330

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10599
TN
2084P0805X
Geriatric Psychiatry Physician
MD10599
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1520718
UNITED HEALTHCARE
TN
01
2007410
BCBS
TN
01
260010805
RAILROAD MEDICARE
TN
05
3199286
TN
Enumeration date
01/04/2006
Last updated
08/20/2024
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