CARLA WILSON PETTY

AUGUSTA, GA
NPI1578913646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN211008)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AL  1-121795)
Enumeration Date2016-06-20
Last Update Date2020-08-20
Business Address
CARLA WILSON PETTY NP-C
1120 15TH ST
AUGUSTA, GA 30912-1526
Phone number: 706-721-8623
Mailing Address
CARLA WILSON PETTY NP-C
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813