Dr. James Michael Petway, M.D., F.C.C.P.
Specialist in Cumming, GA. Individual provider (NPI-1).
NPI number1154319952
StatusActive
Last updated in NPPESFeb 6, 2012
Details
- NPI
- 1154319952
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Michael Petway
- Credential
- M.D., F.C.C.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2005
- Last updated
- Feb 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | Ga021271 | GA | Yes |
Practice location
327 Dahlonega StSuite 804
Cumming, GA 30040-8209
Phone 770-886-6718 · Fax 770-886-6624
Mailing address
327 Dahlonega StSte 804
Cumming, GA 30040-8209
Phone 770-886-6718 · Fax 770-886-6624
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