Individual
AERIAL R PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2902 PORTER ST NW, WASHINGTON, DC 20008-3286
(833) 694-9362
Mailing address
2902 PORTER ST NW, WASHINGTON, DC 20008-3286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO210012491
DC
207Q00000X
Family Medicine Physician
OS22035
FL
Other
Enumeration date
04/05/2021
Last updated
07/14/2025
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