Laquetta Nicol Pettway in Atlanta - Internal Medicine
Laquetta Nicol Pettway - NPI 1376588095
Laquetta Nicol Pettway is a Internal Medicine in Atlanta, Georgia. Laquetta Nicol Pettway practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Laquetta Nicol Pettway is 1376588095. The last update date is 2021-09-22.
Laquetta Nicol Pettway's current location address is Po Box 746063, Atlanta, Georgia. You can contact this provider via phone number 3127339730 and fax number 7738668014. The mailing address for Laquetta Nicol Pettway is Po Box 746063, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laquetta Nicol Pettway |
|---|---|
| Address | Po Box 746063, Atlanta, Georgia |
| Phone Number | 3127339730 |
| Fax Number | 7738668014 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376588095 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2021-09-22 |
Provider Mailing Address Detail
| Address | Po Box 746063 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303746063 |
| Phone Number | 3127339730 |
| Fax Number | 7738668014 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD.19390 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51119644 | AL | BCBS | |
| 1376588095 | AL | TRICARE SOUTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Laquetta Nicol Pettway by the Centers for Medicare & Medicaid Services?
The Laquetta Nicol Pettway has been issued the NPI (National Provider Identifier) 1376588095 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Laquetta Nicol Pettway is physically located?
The Laquetta Nicol Pettway is physically situated at the following address: Po Box 746063, Atlanta, GA, 303746063.
What is Laquetta Nicol Pettway's specialized field of practice, and what is the corresponding taxonomy classification code?
The Laquetta Nicol Pettway's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date was the 1376588095 assigned to Laquetta Nicol Pettway?
The Laquetta Nicol Pettway was issued its 1376588095 on 2006-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Laquetta Nicol Pettway's information last updated?
The Laquetta Nicol Pettway's information was last updated on 2021-09-22.