Petway, Zandra Renee

Petway, Zandra Renee is an individual health care provider with primary practice located at 395 Wallace Rd Ste B307 , Nashville TN 37211-4881. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Petway, Zandra Renee can be contacted via phone (615) 884-0215.

Contact Information

Primary practice address
395 Wallace Rd Ste B307 Nashville TN 37211-4881
Phone: (615) 884-0215
Fax: (615) 884-0219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 27699 Tennessee

Profile Details

NPI number 1265447619
LBN Legal business name Petway, Zandra Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1265447619 NPPES
Tennessee MEDICAID 3802977

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