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Individual

JAMES PETIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1004 CHAFEE AVE, AUGUSTA, GA 30904
(706) 721-6321
Mailing address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-7506

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009071
GA
207R00000X
Internal Medicine Physician
009071
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009071
GA
Enumeration date
05/24/2017
Last updated
09/17/2021
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