Individual
HOLLY PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3704 HIGHWAY 72 W, CORINTH, MS 38834-8556
(662) 665-8041
Mailing address
401 ALCORN DR STE 2C, CORINTH, MS 38834-9073
(662) 293-7618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829333
MS
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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