Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE LYCURGLUS PETTY, M.D.
ActiveGEORGE LYCURGLUS PETTY, M.D. is a Adolescent Medicine healthcare provider located in MERIDIAN, Mississippi. NPI 1831536333 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MERIDIAN, MS
Registration Details
- NPI Number
- 1831536333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2013 (13.202998078219 yrs)
- Last Updated
- Aug 24, 2018
- Licenses
-
24118 (MS)MD.34536 (AL)
Practice Information
- Address
-
1314 19TH AVEMERIDIAN, MS, 39301Browse MS providers · Browse ZIP 39301
- Phone
- 2052709467
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.