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Individual
DR. SHANNA B PETTIE
Active
Individual
DR. SHANNA B PETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
207R00000X
Internal Medicine Physician
Primary
23730
MS
Other
Enumeration date
07/10/2008
Last updated
07/15/2025
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