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1447317474
SHALONDA B PETTIS
FAYETTEVILLE, GA
NPI
1447317474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004248)
Enumeration Date
2007-01-02
Last Update Date
2016-04-11
Business Address
SHALONDA B PETTIS PA-C
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014
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Mailing Address
SHALONDA B PETTIS PA-C
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014
Copy
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