Individual
DR. RAENA M. PETTITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2321 WARDS RD, LYNCHBURG, VA 24502-2101
(434) 582-2273
(434) 582-1363
Mailing address
2321 WARDS RD, LYNCHBURG, VA 24502-2101
(434) 582-2273
(434) 582-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010215048
VA PREMIER PROVIDER NUMBE
—
05
—
010215048
—
VA
01
—
186414
ANTHEM PROVIDER NUMBER
—
01
—
203639329
PCHP PROVIDER NUMBER
—
01
—
203639329013
TRICARE PROVIDER NUMBER
—
01
—
2379390
CIGNA PROVIDER NUMBER
—
01
—
329088
SOUTHERN HEALTH PROVIDER
—
01
—
78660
SENTARA/OPTIMA PROVIDER N
—
01
—
D5084
MEDCOST PROVIDER NUMBER
—
Enumeration date
07/06/2005
Last updated
09/21/2016
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