Glenda V Pettaway
M.D. | Pediatrics | Female
Glenda V Pettaway, M.D. is a Swainsboro, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Glenda V Pettaway is also known as
Glenda V Wright.
Current practice location of Glenda V Pettaway is
215 N Coleman St, Swainsboro, Georgia - 30401-3530. She can be contacted on phone at
478-237-2638 and fax number 478-237-9138.
Glenda V Pettaway is a sole proprietor of her business.
NPI number (Unique professional ID) for Glenda V Pettaway is
1841422359 which was assigned by NPPES on 17 Aug, 2009 and it was last updated on 22 Feb, 2012.
Glenda V Pettaway license number is
062456 for Pediatrics (208000000X) in Georgia.
Glenda V Pettaway 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:
Glenda V Pettaway basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Glenda V Pettaway |
|---|
| Other Name : | Glenda V Wright |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Glenda V Pettaway 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 : | 215 N Coleman St
Swainsboro, GA, 30401-3530
United States |
|---|
| Phone Number : | 478-237-2638 |
|---|
| Fax Number : | 478-237-9138 |
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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 : | 1841422359 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Aug, 2009 |
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| Last Updated On : | 22 Feb, 2012 |
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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 Glenda V Pettaway are as mentioned. Primary taxonomy code for Glenda V Pettaway, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 062456 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Glenda V Pettaway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 269902777A | MEDICAID | GA | |
| 000632376I | 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 : | 215 N Coleman St
Swainsboro, GA, 30401-3530
United States |
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| Phone Number : | 478-237-2638 |
|---|
| Fax Number : | 478-237-9138 |
|---|
Business Location:
Patients can refer following map for directions to
Glenda V Pettaway practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.