Mark Pettenati
Medical Geneticist
Medical Center Blvd
Winston-Salem
, North Carolina 27157-0001
Mark Pettenati
Medical Geneticist
Medical Center Blvd
Winston-Salem
, North Carolina 27157-0001
(336) 716-2255
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Mark Pettenati
- Po Box 344
- Winston Salem, NC
- Zip : 27102-0344
- Phone : (336) 716-2255
Second Address
- Mark Pettenati
- Medical Center Blvd
- Winston-Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-2255
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 170100000X | Medical Geneticist |
National Provider Identifier
| NPI | 1255488649 |
|---|---|
| Provider Name | Mark Pettenati |
| First Address | Winston Salem, NC 27102-0344 |
| Second Address | Winston-Salem, NC 27157-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.