Individual
DANIELLE ROBINSON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 100275, GAINESVILLE, FL 32610-0275
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
OS17545
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2020-02251
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
07/14/2021
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