Individual provider · Type 1 NPI

Charles William Pettus, MD

Cardiovascular Disease Physician · Fayetteville, GA

NPI number 1912902107 Active

Practice location

1267 Highway 54 W, Ste 2200
Fayetteville, GA 30214-2114

Fax (770) 716-0087

Mailing address

20 Francis Way, Suite 101
Sharpsburg, GA 30277

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X033675 (GA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1912902107

Charles William Pettus, MD's National Provider Identifier is 1912902107, issued on Jun 15, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 13, 2010.