Pettry, John Lee

Pettry, John Lee is an individual health care provider with primary practice located at 881 Uss James Madison Road Branch Health Clinic Kings Bay, Kings Bay GA 31547-2531. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Pettry, John Lee can be contacted via phone (912) 573-2938.

Contact Information

Primary practice address
881 Uss James Madison Road Branch Health Clinic Kings Bay Kings Bay GA 31547-2531
Phone: (912) 573-2938
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1932318797
LBN Legal business name Pettry, John Lee
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Oct 8th, 2010 - about 15 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.

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