Petca, Persida L

Petca, Persida L is an individual health care provider with primary practice located at 58 Big A Road , Toccoa GA 30577-6000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petca, Persida L can be contacted via phone (706) 886-3148.

Contact Information

Primary practice address
58 Big A Road Toccoa GA 30577-6000
Fax: (706) 886-3843
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 199089 Georgia

Profile Details

NPI number 1720368681
LBN Legal business name Petca, Persida L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Aug 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers