EMILY BROOKE PETTIS

DOTHAN, AL
NPI1811390396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: AL  AG0114029)
Enumeration Date2014-09-29
Last Update Date2014-09-30
Business Address
EMILY BROOKE PETTIS CRNP
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301-3023
Phone number: 334-794-1148
Mailing Address
EMILY BROOKE PETTIS CRNP
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301-3023
Phone number: 334-794-1148