Individual
DR. SONJA PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 JONES DAIRY RD, BLDG 700, JASPER, AL 35501-6106
(205) 295-4200
(205) 295-4201
Mailing address
1450 JONES DAIRY RD, BLDG 600, JASPER, AL 35501-6106
(205) 295-4200
(205) 295-4201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27916
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943063
—
AL
Enumeration date
02/21/2007
Last updated
09/28/2007
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