Search › Pennsylvania › 171WH0202X
James Pettaway
NPI 1841745015 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7338 Brockton Rd
Philadelphia, PA 19151 - Phone
- (267) 934-0368
- Organisation at this address
- Legendary Cares
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171WH0202X
171WH0202X
- Sex
- Male
- Record last updated
- 2016-08-17
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 Pennsylvania