Garren Petree (NPI# 1487941605, PAC ID# 4587806096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1487941605 |
PAC ID by PECOS | 4587806096 |
Professional Enrollment ID | I20161207000883 |
Full Name | Garren Petree |
Organization Legal Name | SOUTHEAST ORAL SURGERY PC |
Address |
7761 Dannaher Dr Powell TN 37849-4049 |
Phone Number | 8659479800 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | ORAL SURGERY |
Group Practice PAC ID | 4789628207 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440015 | UNIVERSITY OF TN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
7761 Dannaher Dr, Powell, TN 37849-4049 | 8659479800 | SOUTHEAST ORAL SURGERY PC |
Organization Legal Name | SOUTHEAST ORAL SURGERY PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason R Kennedy | Maxillofacial Surgery | Southeast Oral Surgery PC | 1858 Crest Rd, Maryville, TN 37804-4305 |
Troy Randall Napier | Maxillofacial Surgery | Southeast Oral Surgery PC | 1858 Crest Rd, Maryville, TN 37804-4305 |
Timothy P Mcconnell | Maxillofacial Surgery | Southeast Oral Surgery PC | 1858 Crest Rd, Maryville, TN 37804-4305 |
Otto W Slater | Maxillofacial Surgery | Southeast Oral Surgery PC | 7761 Dannaher Dr, Powell, TN 37849-4049 |
Street Address |
7761 DANNAHER DR |
City | POWELL |
State | TN |
Zip | 37849-4049 |
Name | Specialty | Organization | Address |
---|---|---|---|
Otto W Slater | Maxillofacial Surgery | Southeast Oral Surgery PC | 7761 Dannaher Dr, Powell, TN 37849-4049 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Headrick | Nurse Practitioner | Knoxville Dermatology Group PC | 7557 Dannaher Dr, Suite G20, Powell, TN 37849-1517 |
Matthew A Leemkuil | Physical Medicine and Rehabilitation | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Katherine M Geoghagan | Registered Dietitian Or Nutrition Professional | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Elizabeth L Gager | Nurse Practitioner | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
David Durbin | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Shannon L Roberts | Nurse Practitioner | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Glen E Hall | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Michael Douglas Leahy | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Miriam W Brandon | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
James Davis Allan Jr. | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
Find all physicians in zip 37849 |
City | POWELL |
Zip Code | 37849 |
Specialty | ORAL SURGERY |
City + Specialty | POWELL + ORAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.