Pettaway, Demetria

Pettaway, Demetria is an individual health care provider with primary practice located at 1903 Spring Hill Ave , Mobile AL 36607-2303. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Pettaway, Demetria can be contacted via phone (251) 295-5110.

Contact Information

Primary practice address
1903 Spring Hill Ave Mobile AL 36607-2303
Phone: (251) 295-5110
Fax: (251) 545-4963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X

Profile Details

NPI number 1750734752
LBN Legal business name Pettaway, Demetria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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