Individual
DR. SHANNA B PETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 ELLIS AVE, JACKSON, MS 39209-6256
(601) 533-7016
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(773) 352-1515
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
Primary
23730
MS
Other
Enumeration date
07/10/2008
Last updated
07/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us