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1902851645
JOHN ALTON PETTAY
SNELLVILLE, GA
NPI
1902851645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN107083 NP)
Enumeration Date
2006-05-23
Last Update Date
2009-01-13
Business Address
MR. JOHN ALTON PETTAY FNP C
2295 HENRY CLOWER BLVD SUITE 101
SNELLVILLE, GA 30078
Phone number: 770-972-4871
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Mailing Address
MR. JOHN ALTON PETTAY FNP C
1105 PEBBLE BEND DRIVE
GRAYSON, GA 30017
Phone number: 770-985-2845
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