Individual
DR. GEORGE MCLEOD PETTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7028
Mailing address
301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
579
AL
Other
Enumeration date
09/02/2006
Last updated
04/26/2022
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