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1972775427
ELVY PETTIT
WINSTON SALEM, NC
NPI
1972775427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 101961)
Enumeration Date
2008-03-25
Last Update Date
2008-03-25
Business Address
-- ELVY PETTIT P.A.
3080 TRENWEST DR THE SALEM CENTER
WINSTON SALEM, NC 27103-3208
Phone number: 336-768-0496
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Mailing Address
-- ELVY PETTIT P.A.
3080 TRENWEST DR THE SALEM CENTER
WINSTON SALEM, NC 27103-3208
Phone number: 336-768-0496
Copy
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