Individual
ALBERT M PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, RADIATION THERAPY DEPARTMENT, MARYVILLE, TN 37804-5015
(865) 977-5534
Mailing address
PO BOX 1350, POWELL, TN 37849-1350
(865) 363-9248
(865) 947-2960
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037403
—
TN
Enumeration date
01/08/2007
Last updated
12/17/2014
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