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CHARLES WILLIAM PETTUS MD, NPI 1912902107

Internal Medicine in SHARPSBURG, GA

Last Updated on : Sep 13,2010

CHARLES WILLIAM PETTUS MD, NPI 1912902107

About CHARLES WILLIAM PETTUS (NPI 1912902107)


CHARLES WILLIAM PETTUS is an Internal Medicine provider in SHARPSBURG, United States. His medical specialization is Internal Medicine with a focus in Cardiovascular Disease.

1912902107 is NPI number of CHARLES WILLIAM PETTUS.

CHARLES WILLIAM PETTUS's primary taxonomy code based on NPI Lookup is 207RC0000X with license number 033675. This taxonomy code refers to Internal Medicine.

CHARLES WILLIAM PETTUS has more than 18 years of experience.

CHARLES WILLIAM PETTUS current practice location address is 20 FRANCIS WAY, SHARPSBURG, GA. CHARLES WILLIAM PETTUS can be reached out via phone at 770-253-0611 and via fax at 770-502-0521 .

You can also correspond with CHARLES WILLIAM PETTUS through mail at mailing address 1267 HIGHWAY 54 W, FAYETTEVILLE, GA, United States. Mailing address contact number is 770-716-0051.

The enumeration date of CHARLES WILLIAM PETTUS is 15-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1912902107 NPI Information

Basic NPI information of CHARLES WILLIAM PETTUS (NPI 1912902107) is provided below.

Name CHARLES WILLIAM PETTUS
National Provider Id (NPI) 1912902107
Entity Type Individual
Gender M
Credential MD
Practice Address 20 FRANCIS WAY, SUITE 101
SHARPSBURG, GA, United States
Practice Telephone 770-253-0611
Practice Fax Number 770-502-0521
Mailing Address 1267 HIGHWAY 54 W , STE 2200
FAYETTEVILLE, GA, United States
Mailing Telephone 770-716-0051
Mailing Fax Number 770-716-0087
Enumeration Date 15-Jun-2005
Last Updated Date 13-Sep-2010

CHARLES WILLIAM PETTUS (NPI 1912902107) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RC0000X Internal Medicine, Cardiovascular Disease 033675 GA

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
000650413NOQ MEDICAID (05) GA

CHARLES WILLIAM PETTUS (NPI 1912902107) Office Location

Office location of CHARLES WILLIAM PETTUS is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1184226284 100 CHIRO ANTHONY LLC Chiropractor 15 THOMAS GRACE ANNEX LN STE 450,
SHARPSBURG, GA, United States
12-Nov-2020
1063911360 100 PERCENT CHIROPRACTIC ODOM LLC Chiropractor 15 THOMAS GRACE ANNEX LN, 450
SHARPSBURG, GA, United States
02-Feb-2018
1346918133 A PLUS SUPPORT SERVICES 50 VIRGINIA AVE,
SHARPSBURG, GA, United States
06-Sep-2021
1780213850 JERMA CAREN ADAMS Internal Medicine 303 PARKWAY DR NE # 430,
ATLANTA, GA, United States
02-Apr-2020
1073780391 ADVANCED SLEEP SOLUTIONS OF ATLANTA Clinic/Center, Sleep Disorder Diagnostic 209 COBBLESTONE CV,
SHARPSBURG, GA, United States
15-May-2008
1780046284 ALLEGHENY HEALTH NETWORK HOME INFUSION LLC Pharmacy 311 23RD STREET EXT # 500,
SHARPSBURG, PA, United States
23-Mar-2016
1700427002 ALLEGHENY HEALTH NETWORK HOME INFUSION LLC Pharmacy 311 23RD STREET EXT STE 500,
SHARPSBURG, PA, United States
08-Oct-2019
1003486374 ALLEGHENY HEALTH NETWORK HOME INFUSION LLC Home Infusion 311 23RD STREET EXT STE 500,
SHARPSBURG, PA, United States
29-Jun-2021
1750471181 ALTERNACARE PHYSICAL MEDICINE AND REHABILITATION Chiropractor 3500 HIGHWAY 34 E, SUITE #15
SHARPSBURG, GA, United States
14-Oct-2006
1326551599 ALICIA V ANDERSON Registered Nurse, Gerontology 70 BELLVIEW RDG,
SHARPSBURG, GA, United States
09-Nov-2017
1144474941 KIMBERLY SUE ANDERSON Optometrist, Corneal and Contact Management 101 RIVERBIRCH WAY,
SHARPSBURG, GA, United States
06-Nov-2008
1477156511 ZACHARY JASON ANTHONY Chiropractor 15 THOMAS GRACE ANNEX LN STE 450,
SHARPSBURG, GA, United States
20-Nov-2020
1245579234 ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC Nurse Practitioner, Primary Care 820 EBENEZER CHURCH RD,
SHARPSBURG, GA, United States
11-Feb-2013
1043666852 TYLER AUSTIN Physical Therapist 480 BARRINGTON FARMS PKWY,
SHARPSBURG, GA, United States
11-May-2016
1336342666 GARY BAKER Occupational Therapist 71 VIRGINIA AVE,
SHARPSBURG, GA, United States
06-Jun-2007
1437664372 JULIE TAYLOR BAKER Physician Assistant 1364 CLIFTON RD NE STE H100,
ATLANTA, GA, United States
13-Dec-2017
1700407590 LAURA BALDWIN Physical Therapist 81 BAYLAUREL DR,
SHARPSBURG, GA, United States
03-May-2020
1023772159 MELISSA ANN BALESTINO Registered Nurse 307 23RD STREET EXT STE 164,
SHARPSBURG, PA, United States
25-Oct-2021
1790713279 KAREN G BARBER Physical Therapist PO BOX 877,
SHARPSBURG, GA, United States
30-Jun-2006
1568067924 ZUZANA BARBRET Nurse Practitioner 1968 PEACHTREE RD NW,
ATLANTA, GA, United States
03-Dec-2020

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1912902107?

1912902107 is the NPI number of CHARLES WILLIAM PETTUS.

What is the specialty for CHARLES WILLIAM PETTUS?

The Specialty of CHARLES WILLIAM PETTUS is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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