Individual
GLENDA V PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
(478) 237-9138
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
(478) 237-9138
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
062456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000632376I
—
GA
05
—
269902777A
—
GA
Enumeration date
08/17/2009
Last updated
02/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us