Individual
DR. LAQUETTA NICOL PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2250 BESSEMER RD STE 200, BIRMINGHAM, AL 35208-4725
(205) 382-8265
(205) 382-8215
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.19390
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051119644
BCBS
AL
01
—
1376588095
TRICARE SOUTH
AL
Enumeration date
06/17/2006
Last updated
12/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us