Individual provider · Type 1 NPI

George Lycurglus Petty, MD

Adult Medicine Physician · Meridian, MS

NPI number 1831536333 Active

Practice location

1314 19th Ave
Meridian, MS 39301

Call (205) 270-9467 Map

Mailing address

1901 5th Ave E Unit 1113
Tuscaloosa, AL 35401-3868

Other practice locations

  • 850 5th Ave E, Tuscaloosa, AL 35401-7419 · (205) 348-1770

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X24118 (MS)
Adult Medicine Physician Primary 207QA0505XMD.34536 (AL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

132 other providers at this address

About NPI 1831536333

George Lycurglus Petty, MD's National Provider Identifier is 1831536333, issued on May 24, 2013. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Meridian, MS. The record was last updated on Aug 24, 2018.