Elizabeth M Petty in Crossville - Internal Medicine

Elizabeth M Petty - NPI 1477661361

Elizabeth M Petty is a Internal Medicine in Crossville, Tennessee. Elizabeth M Petty practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Elizabeth M Petty is 1477661361. The last update date is 2023-10-17.

Elizabeth M Petty's current location address is 100 Lantana Rd, Crossville, Tennessee. You can contact this provider via phone number 9314845141 and fax number 9314845620. The mailing address for Elizabeth M Petty is 100 Lantana Rd, Crossville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth M Petty
Address 100 Lantana Rd, Crossville, Tennessee
Phone Number 9314845141
Fax Number 9314845620
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477661361
Provider Enumeration Date 2006-08-29
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 100 Lantana Rd
City Crossville
State Tennessee (TN)
Post Code 385551903
Phone Number 9314845141
Fax Number 9314845620

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD24627
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3076600 TN --
110074364 RAILROAD MEDICARE
164200 TN BLUE CROSS

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FAQs about Elizabeth M Petty

What is the unique 10-digit identifier code issued to Elizabeth M Petty by the Centers for Medicare & Medicaid Services?

The Elizabeth M Petty has been assigned the NPI (National Provider Identifier) 1477661361 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Elizabeth M Petty's physical address?

The Elizabeth M Petty is physically located at 100 Lantana Rd, in the city of Crossville, TN, with the postal code 385551903.

What is Elizabeth M Petty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Elizabeth M Petty's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date was the 1477661361 assigned to Elizabeth M Petty?

The Elizabeth M Petty was issued its 1477661361 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Elizabeth M Petty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Elizabeth M Petty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-17.

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