Individual
DR. COLTON RYAN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 ALCOA HWY # U-107, KNOXVILLE, TN 37920-1511
(901) 448-5529
Mailing address
910 MADISON AVE STE 1002, MEMPHIS, TN 38103-3487
(901) 448-5529
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
68958
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
03/26/2024
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