Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Colton Ryan Petty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629743083

Dr. Colton Ryan Petty, MD is a Student in an Organized Health Care Education/Training Program in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1924 Alcoa Hwy # U-107
Knoxville, TN 37920-1511
Phone: (901) 448-5529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 68958 (TN)

Record details

NPI number1629743083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

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