MR. Gary Courtland Pettit, BA
NPI #1114366614 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1114366614
- Entity Type
- Individual
- Name
- MR. Gary Courtland Pettit, BA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA
- Enumeration Date
- Jun 18, 2013
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 1616 FRANCES AVE
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34949-3559
- Phone
- (772) 519-9197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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