SAMUEL RUSSEL PETRIE

NASHVILLE, TN
NPI1780328377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
SAMUEL RUSSEL PETRIE MD
1601 23RD AVE S RM 3106
NASHVILLE, TN 37212-3133
Phone number: 615-327-7119
Mailing Address
SAMUEL RUSSEL PETRIE MD
1601 23RD AVE S RM 3106
NASHVILLE, TN 37212-3133
Phone number: 615-327-7119