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Search › Georgia › 208000000X

Ericka Russell Petty, M.D

NPI 1659362705 · on the registry since 2005 · sole proprietor

Practice

Address
3710 Waters Ave
Savannah, GA 31404
Phone
(912) 777-5490
Fax
(912) 777-5491
Organisation at this address
Peds Health
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-13

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