Individual
DENNIS WAYNE PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E HOMESTEAD AVE, SHELBY, NC 28152-9502
(704) 477-0852
(704) 867-1414
Mailing address
420 E HOMESTEAD AVE, SHELBY, NC 28152-9502
(704) 477-0852
(704) 867-1414
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NC
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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