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NPI Profile for GEORGE L PETTY in MERIDIAN, MS.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine |
| NPI # | 1831536333 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/24/2013 | |
| Last updated | 08/24/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GEORGE L PETTY
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GEORGE L PETTY, MD