Individual provider · Type 1 NPI

Colton Ryan Petty, MD

Student in an Organized Health Care Education/Training Program · Knoxville, TN

NPI number 1629743083 Active

Practice location

1924 Alcoa Hwy # U-107
Knoxville, TN 37920-1511

Call (901) 448-5529 Map

Mailing address

910 Madison Ave Ste 1002
Memphis, TN 38103-3487

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
General Practice Physician 208D00000X68958 (TN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629743083

Colton Ryan Petty, MD's National Provider Identifier is 1629743083, issued on Aug 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Knoxville, TN. The record was last updated on Mar 26, 2024.