Individual
EASTON PETITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Mailing address
4215 FUDGES CREEK RD, BARBOURSVILLE, WV 25504-8010
(304) 417-1596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010405RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
07/15/2026
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