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1164406690
WILLIAM JEFFREY PETTY
WINSTON SALEM, NC
NPI
1164406690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NC 200100591)
Enumeration Date
2005-11-29
Last Update Date
2008-01-10
Business Address
-- WILLIAM JEFFREY PETTY
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- WILLIAM JEFFREY PETTY
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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