Individual
GLORIA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 TOWN BLVD NE, BROOKHAVEN, GA 30319-3011
(770) 799-6028
Mailing address
4205 N POINT PKWY, ALPHARETTA, GA 30022-8808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN314273
GA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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