SearchGeorgia208600000X

Janine Pettiford, M.D

NPI 1043541725 · on the registry since 2010 · sole proprietor

Practice

Address
325 North Jeff Davis Dr
Fayetteville, GA 30214
Phone
(770) 461-1337
Fax
(770) 461-0922
Organisation at this address
The Breast Health Clinic, Pc.
Southern Crescent Physicians Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
208600000X
208600000X
Licence states on file
TX, MO, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia