Organization
GEORGE P PETTIT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE P PETTIT MD (OWNER CEO)
(740) 354-1434
Entity
Organization
Contact information
Practice address
1729 27TH ST, PORTSMOUTH, OH 45662
(740) 354-1434
(740) 353-8811
Mailing address
1729 27TH ST, PORTSMOUTH, OH 45662
(740) 354-1434
(740) 353-8811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704830
—
OH
01
—
363LW0102X
ARNP TAXONOMY CODE
—
05
—
6593243600
—
KY
05
—
7890083400
—
KY
Enumeration date
07/19/2006
Last updated
06/11/2008
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