JOHN K PETTY

WINSTON SALEM, NC
NPI1497731095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NC  200501628)
Additional Taxonomies2086S0102X Surgery, Surgical Critical Care
(Licence: NC  200501628)
2086S0120X Surgery, Pediatric Surgery
(Licence: NC  200501628)
Enumeration Date2005-12-16
Last Update Date2010-11-12
Business Address
-- JOHN K PETTY MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
-- JOHN K PETTY MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255