Individual
SHARON PETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
39 KENT RD, SUITE 5, TIFTON, GA 31794-1698
(229) 353-7337
Mailing address
39 KENT RD, SUITE 5, TIFTON, GA 31794-1698
(229) 353-7337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1456
GA
Other
Enumeration date
08/29/2006
Last updated
11/30/2020
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