Petty, George Lycurglus

Petty, George Lycurglus is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Petty, George Lycurglus can be contacted via phone (205) 270-9467.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301
Phone: (205) 270-9467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24118 Mississippi
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD.34536 Alabama

Profile Details

NPI number 1831536333
LBN Legal business name Petty, George Lycurglus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2013
Last updated Aug 24th, 2018 - about 6 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