Individual
WILLIAM H. PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 CENTRAL PIKE STE 105, HERMITAGE, TN 37076-3495
(615) 649-6410
(800) 319-2124
Mailing address
3810 CENTRAL PIKE STE 105, HERMITAGE, TN 37076-3495
(615) 649-6410
(615) 329-5834
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000975
—
TN
Enumeration date
08/18/2005
Last updated
03/14/2019
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