Individual
MICHAEL LOGAN PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9735 KINCEY AVE STE 100, HUNTERSVILLE, NC 28078-9120
(704) 500-2332
Mailing address
9735 KINCEY AVE STE 100, HUNTERSVILLE, NC 28078-9120
(704) 500-2332
(704) 274-2048
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
202000739
NC
Other
Enumeration date
04/14/2014
Last updated
02/29/2024
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