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NPI Code Detail

MEDICARE: DAMON H PETTY MD

MEDICARE: DAMON H PETTY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD36400TN
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician36400TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861452195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMON H PETTY MD
Provider Business Mailing Address
First Line : PO BOX 306556
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6556
Country : US
Telephone Number : 865-243-8153
Fax Number :
Provider Business Practice Location Address
First Line : 8 CITY BLVD STE 300
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2560
Country : US
Telephone Number : 615-329-6600
Fax Number : 615-321-6626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 02/12/2026

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Directions to “ DAMON H PETTY MD” Practice Location

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