Individual
TERI KAYE PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-9000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28655
SC
363LA2100X
Acute Care Nurse Practitioner
RN339928
GA
Other
Enumeration date
09/22/2023
Last updated
12/18/2025
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