Individual
MARY FRANCES PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 436-6400
Mailing address
3 ALICIA CT, DURHAM, NC 27704-5173
(919) 765-9558
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
108110
NC
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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