Individual
ALLISON PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4128
(770) 968-8888
Mailing address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4128
(828) 421-2958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003634
GA
156FX1800X
Optician
262851
KY
Other
Enumeration date
06/19/2022
Last updated
11/21/2024
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