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1912902107
CHARLES WILLIAM PETTUS
FAYETTEVILLE, GA
NPI
1912902107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA 033675)
Enumeration Date
2005-06-15
Last Update Date
2010-09-13
Business Address
Dr. CHARLES WILLIAM PETTUS MD
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214-2114
Phone number: 770-716-0051
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Mailing Address
Dr. CHARLES WILLIAM PETTUS MD
20 FRANCIS WAY SUITE 101
SHARPSBURG, GA 30277
Phone number: 770-253-0611
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