Individual
RICHARD GEORGE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2430 TUCKER DR, BLDG A, LOGANVILLE, GA 30052-4390
(770) 554-8812
Mailing address
2430 TUCKER DR, BLDG A, LOGANVILLE, GA 30052-4390
(770) 554-8812
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000401L
PA
2084P0800X
Psychiatry Physician
Primary
MD052287L
PA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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