Individual provider · Type 1 NPI
Elvy Pettit Jr., P.A.
Medical Physician Assistant · Winston Salem, NC
NPI number
1972775427
Active
Practice location
3080 Trenwest Dr, The Salem Center
Winston Salem, NC 27103-3208
Fax (336) 768-0498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 101961 (NC) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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- Andrea Whitley Peyton, PA-CMedical Physician Assistant Winston Salem, NC NPI 1003100850
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- Melissa Corral Domenech, PA-CMedical Physician Assistant Winston Salem, NC NPI 1023000213
- Carla Mann Koskinas, PA-CMedical Physician Assistant Winston Salem, NC NPI 1043317043
- Debra Copeland Sizemore, PACMedical Physician Assistant Winston Salem, NC NPI 1063497196
- Shafaq Rashid, PAMedical Physician Assistant Winston Salem, NC NPI 1073937504
- Melissa R. Smith, PA-CMedical Physician Assistant Winston Salem, NC NPI 1083885610
About NPI 1972775427
Elvy Pettit Jr., P.A.'s National Provider Identifier is 1972775427, issued on Mar 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 25, 2008.