WESLEY ALLEN PETTIFORD

CLINTON, TN
NPI1740928803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  31793)
Enumeration Date2022-05-26
Last Update Date2022-06-17
Business Address
WESLEY ALLEN PETTIFORD FNP-C
102 S CHARLES G SEIVERS BLVD
CLINTON, TN 37716-3916
Phone number: 865-457-4702
Mailing Address
WESLEY ALLEN PETTIFORD FNP-C
114 ARCADIAN SPRINGS DR
ANDERSONVILLE, TN 37705-3032
Phone number: 865-250-4219
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