Individual
CHELSEA PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS, RVT, RDCS
Contact information
Practice address
156 E 15TH AVE, SUITE #3, GULF SHORES, AL 36542-3516
(706) 534-1303
Mailing address
45 HILL TOP DR, JEFFERSON, GA 30549-1261
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
168529
GA
Other
Enumeration date
06/17/2016
Last updated
07/19/2016
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