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Organization

J. MICHAEL PETWAY, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MICHAEL PETWAY M.D., F.C.C. P. (CEO)
(770) 886-6718
Entity
Organization

Contact information

Practice address
106 PILGRIM VILLAGE DR, SUITE 400, CUMMING, GA 30040-9241
(770) 886-6718
Mailing address
562 LAKELAND PLZ, SUITE #158, CUMMING, GA 30040-2783
(770) 886-6718

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21271
GA
207RP1001X
Pulmonary Disease Physician
Primary
21271
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
21271
GA

Other

Enumeration date
03/13/2008
Last updated
03/15/2008
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