Dr. Ericka M. Russell Petty
M.D. | Pediatrics | Female
Dr. Ericka M. Russell Petty, M.D. is a Savannah, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Ericka M. Russell Petty is also known as
Ericka M. Russell-petty.
Current practice location of Dr. Ericka M. Russell Petty is
3710 Waters Ave, Savannah, Georgia - 31404-6209. She can be contacted on phone at
912-777-5490 and fax number 912-777-5491.
Dr. Ericka M. Russell Petty is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Ericka M. Russell Petty is
1659362705 which was assigned by NPPES on 28 Oct, 2005 and it was last updated on 13 Aug, 2013.
Dr. Ericka M. Russell Petty license number is
047258 for Pediatrics (208000000X) in Georgia.
Dr. Ericka M. Russell Petty is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ericka M. Russell Petty basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ericka M. Russell Petty |
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| Other Name : | Ericka M. Russell-petty |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Ericka M. Russell Petty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3710 Waters Ave
Savannah, GA, 31404-6209
United States |
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| Phone Number : | 912-777-5490 |
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| Fax Number : | 912-777-5491 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659362705 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Oct, 2005 |
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| Last Updated On : | 13 Aug, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ericka M. Russell Petty are as mentioned. Primary taxonomy code for Dr. Ericka M. Russell Petty, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 047258 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ericka M. Russell Petty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000880448C | MEDICAID | GA | |
| 000880448D | MEDICAID | GA | |
| 000880448E | MEDICAID | GA | |
| 000880448H | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5710 Ogeechee Rd, Ste 200 Box 283
Savannah, GA, 31405-9515
United States |
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| Phone Number : | 912-777-5490 |
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| Fax Number : | 912-777-5491 |
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Business Location:
Patients can refer following map for directions to
Dr. Ericka M. Russell Petty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.