John Lee Pettry, IDC

NPI #1932318797 in Kings Bay, Georgia

Provider Information

NPI Number
1932318797
Entity Type
Individual
Name
John Lee Pettry, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
May 21, 2007
Last Updated
Oct 8, 2010

Practice Location

Address
881 USS JAMES MADISON ROAD
Address 2
BRANCH HEALTH CLINIC KINGS BAY
State
Georgia
ZIP Code
31547-2531
Phone
(912) 573-2938

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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