Individual
JEREMY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4561 RIVER RD STE A, COLUMBUS, GA 31904-5828
(706) 478-5717
(706) 229-4883
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP175210
GA
Other
Enumeration date
08/16/2010
Last updated
11/04/2025
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