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Individual

JAMES JARRETT PETTIT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 343-9923
(304) 343-9925
Mailing address
2345 CHESTERFIELD AVE, STE 302, CHARLESTON, WV 25304-1064
(304) 343-9923
(304) 343-9925

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15412
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071519000
WV
Enumeration date
04/07/2006
Last updated
09/20/2019
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