Pettay, John Alton
Pettay, John Alton is an individual health care provider with primary practice located at 2295 Henry Clower Blvd Suite 101, Snellville GA 30078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pettay, John Alton can be contacted via phone (770) 972-4871.Contact Information
Primary practice address
2295 Henry Clower Blvd Suite 101
Snellville GA 30078
Phone: (770) 972-4871
Fax: (770) 979-3782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN107083 NP | Georgia |
Profile Details
| NPI number | 1902851645 |
|---|---|
| LBN Legal business name | Pettay, John Alton |
| Credentials | FNP C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 13th, 2009 - about 17 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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