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Individual

DEANNA SHAE PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1712 E BROAD AVE # C, ALBANY, GA 31705-2611
(229) 483-4537
Mailing address
113 DRU CT, LEESBURG, GA 31763-4582
(229) 291-5455

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022137592
GA

Other

Enumeration date
09/18/2023
Last updated
09/21/2023
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