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Individual

JULIE PETTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 274-3865
Mailing address
3489 NEW BUCKEYE RD, WRIGHTSVILLE, GA 31096-3770
(478) 609-4269

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04170449
GA
363LS0200X
School Nurse Practitioner
RN190687
GA

Other

Enumeration date
02/08/2017
Last updated
11/06/2018
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