Petty, Brandy Anne

Petty, Brandy Anne is an individual health care provider with primary practice located at Georgia Southern University Hanner Fieldhouse Herty Drive, Statesboro GA 30460-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Petty, Brandy Anne can be contacted via phone (912) 486-7581.

Contact Information

Primary practice address
Georgia Southern University Hanner Fieldhouse Herty Drive Statesboro GA 30460-0001
Phone: (912) 486-7581
Fax: (912) 486-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X AT001014 Georgia

Profile Details

NPI number 1376764340
LBN Legal business name Petty, Brandy Anne
Credentials M.S., ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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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