Petty, Damon H

Petty, Damon H is an individual health care provider with primary practice located at 1035 S Hartmann Dr Ste 300 , Lebanon TN 37090-4064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Petty, Damon H can be contacted via phone (615) 321-0200.

Contact Information

Primary practice address
1035 S Hartmann Dr Ste 300 Lebanon TN 37090-4064
Phone: (615) 321-0200
Fax: (615) 443-5488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 36400 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD36400 Tennessee

Profile Details

NPI number 1861452195
LBN Legal business name Petty, Damon H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861452195 NPPES
Tennessee MEDICAID 3877034

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