Individual
PETRINO PERNETTE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
211 PAYTON PL, WOODSTOCK, GA 30188-3185
(662) 854-1136
Mailing address
211 PAYTON PL, WOODSTOCK, GA 30188-3185
(662) 854-1136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R886079
MS
163W00000X
Registered Nurse
Primary
RN233369
GA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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