Individual
MICHAEL J PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1203 TROTWOOD AVENUE, COLUMBIA, TN 38401
(931) 490-1295
(931) 490-1298
Mailing address
1203 TROTWOOD AVENUE, COLUMBIA, TN 38401
(931) 490-1295
(931) 490-1298
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26818
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30942941
—
TN
Enumeration date
06/17/2005
Last updated
03/12/2008
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