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1942515812
JEREMY PETTY
COLUMBUS, GA
NPI
1942515812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN175210)
Enumeration Date
2010-08-16
Last Update Date
2014-07-01
Business Address
-- JEREMY PETTY FNP-C
2737 WARM SPRINGS RD
COLUMBUS, GA 31904-6859
Phone number: 706-653-2255
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Mailing Address
-- JEREMY PETTY FNP-C
4519 WOODRUFF RD SUITE 4 PMB 349
COLUMBUS, GA 31904-6011
Phone number: 706-653-2255
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