Organization
SUMMIT HEALTH PSYCHIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME PETTIT PA-C (CEO)
(828) 273-0162
Entity
Organization
Contact information
Practice address
226 SHANNON RD, HENDERSONVILLE, NC 28791-8739
(828) 273-0162
Mailing address
226 SHANNON RD, HENDERSONVILLE, NC 28791-8739
(828) 273-0162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103720
MEDICAL LICENSE
NC
Enumeration date
05/19/2020
Last updated
05/19/2020
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