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Primary Practice Address
325 NORTH JEFF DAVIS DR
FAYETTEVILLE, GA 30214 US
PECOS Enrolled

Janine Nicole Pettiford

General Surgeon


Janine Nicole Pettiford

Overview

Janine Nicole Pettiford is a General Surgeon in the FAYETTEVILLE area and has over 19 years of experience. Janine Nicole Pettiford primary office location is at 325 NORTH JEFF DAVIS DR and new patients are welcome to contact this healthcare provider for an appointment. She attended Saint Louis University School Of Medicine and graduated 2005

Janine Nicole Pettiford is affiliated with two hospitals in the FAYETTEVILLE area, including NORTHSIDE HOSPITAL. The NPI number is 1043541725 and the information was updated approximately 8 years ago.

Janine Nicole Pettiford is affiliated with one medical group in the FAYETTEVILLE area, NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
325 NORTH JEFF DAVIS DR
FAYETTEVILLE, GA 30214 US
Phone: (770)-461-1337
Fax:
Practice Mailing Information
33 UPPER RIVERDALE ROAD SW
FAYETTEVILLE, GA 30214 US
Phone: (770)-996-3190
Fax:
License Number State
072414 GA
2010013505 MO
BP10023659 TX

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20141204002430
PECOS Individual PAC ID: 7517289374
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes