Individual
MANJULA RANI PETCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 YADKIN ST, SUITE 303, ALBEMARLE, NC 28001-3449
(980) 323-5400
Mailing address
105 YADKIN ST, ALBEMARLE, NC 28001-3449
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2008-00313
NC
208000000X
Pediatrics Physician
ME140645
FL
Other
Enumeration date
05/02/2008
Last updated
10/26/2021
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