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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES WILLIAM PETTUS, MD

Active

DR. CHARLES WILLIAM PETTUS, MD is a Cardiovascular Disease healthcare provider located in FAYETTEVILLE, Georgia. NPI 1912902107 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · FAYETTEVILLE, GA

Registration Details

NPI Number
1912902107
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2005 (21.145586934616 yrs)
Last Updated
Sep 13, 2010
License
033675 (GA)

Practice Information

Address
1267 HIGHWAY 54 W
STE 2200
FAYETTEVILLE, GA, 302142114
Browse GA providers · Browse ZIP 30214
Phone
7707160051
Fax
7707160087
Primary Specialty
Cardiovascular Disease
207RC0000X

Other Cardiovascular Disease Providers in FAYETTEVILLE, GA

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.