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1356846299
ERIC WAYNE PETTYJOHN
LAKE MARY, FL
NPI
1356846299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: FL ME156239)
Enumeration Date
2018-03-23
Last Update Date
2022-08-18
Business Address
ERIC WAYNE PETTYJOHN MD
1141 PATTERSON TER
LAKE MARY, FL 32746-2203
Phone number: 844-407-4070
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Mailing Address
ERIC WAYNE PETTYJOHN MD
833 CHESTNUT ST STE 520
PHILADELPHIA, PA 19107-4430
Phone number: 267-339-7843
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