Individual
DR. COURTNEY KATRIL PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 GEORGE ST, BECKLEY, WV 25801-2641
(304) 250-0382
(304) 250-0383
Mailing address
122 GEORGE ST., BECKLEY, WV 25801-2641
(304) 250-0382
(304) 250-0383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24518
WV
208600000X
Surgery Physician
64715
GA
Other
Enumeration date
04/19/2007
Last updated
04/26/2012
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