Individual
DR. JAMES MICHAEL PETWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.C.C.P.
Contact information
Practice address
327 DAHLONEGA ST, SUITE 804, CUMMING, GA 30040-8209
(770) 886-6718
(770) 886-6624
Mailing address
327 DAHLONEGA ST, STE 804, CUMMING, GA 30040-8209
(770) 886-6718
(770) 886-6624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA021271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000276438P
—
GA
Enumeration date
10/06/2005
Last updated
02/06/2012
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