AMY DIETZEN PETTICREW

CHARLOTTE, NC
NPI1801287610
Former NameAMY ELIZABETH DIETZEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-05569)
Enumeration Date2015-02-16
Last Update Date2023-04-26
Business Address
Mrs. AMY DIETZEN PETTICREW PA-C
6324 FAIRVIEW RD SUITE 201
CHARLOTTE, NC 28210-3271
Phone number: 704-384-0588
Mailing Address
Mrs. AMY DIETZEN PETTICREW PA-C
PO BOX 60447 SUITE 200
CHARLOTTE, NC 28260-0447
Phone number: 704-384-0588
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