Individual
DR. JOSEPH ATKINS PETTUS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 ADAMS ST SE, HUNTSVILLE, AL 35801-3709
(256) 536-9020
(256) 536-9020
Mailing address
825 ADAMS ST SE, HUNTSVILLE, AL 35801-3709
(256) 536-9020
(256) 536-9020
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2007-01225
NC
208800000X
Urology Physician
Primary
30039
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083807333
—
VA
01
—
147WJ
BCBS
NC
01
—
204388
MEDCOST
NC
05
—
3810010766
—
WV
05
—
5908269
—
NC
01
—
812207
PARTNERS
NC
05
—
Q25008
—
SC
Enumeration date
08/21/2007
Last updated
01/29/2026
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