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Contact Information

ZANDRA R PETWAY, MD
5115 MARYLAND WAY
STE 65
BRENTWOOD, TN37027
 Phone: 615-943-5503
 Fax: 615-884-0219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ZANDRA R PETWAY · (Female)

NPI # 1265447619
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 27699
  • TN Medicaid 3802977
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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