Miss Brandy Anne Petty
Sports Medicine
Georgia Southern University Hanner Fieldhouse Herty Drive
Statesboro
, Georgia 30460-0001
Miss Brandy Anne Petty
Sports Medicine
Georgia Southern University Hanner Fieldhouse Herty Drive
Statesboro
, Georgia 30460-0001
(912) 486-7690
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Miss Brandy Anne Petty
- 602 N Kevin Ct
- Statesboro, GA
- Zip : 30461-2743
- Fax : (912) 486-7690
- Phone : (912) 486-7581
Second Address
- Miss Brandy Anne Petty
- Georgia Southern University Hanner Fieldhouse Herty Drive
- Statesboro, GA
- Zip : 30460-0001
- Fax : (912) 486-7690
- Phone : (912) 486-7581
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FAQs
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What type of doctor is Miss Brandy Anne Petty
In what state does Miss Brandy Anne Petty practice in?
Where is Miss Brandy Anne Petty ’s practice located?
What is Miss Brandy Anne Petty ’s gender?
Is Miss Brandy Anne Petty a sole practitioner?
Is Miss Brandy Anne Petty accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AT001014 | GA |
| Y | 213ES0000X | Sports Medicine | AT001014 | GA |
National Provider Identifier
| NPI | 1376764340 |
|---|---|
| Provider Name | Miss Brandy Anne Petty |
| First Address | Statesboro, GA 30461-2743 |
| Second Address | Statesboro, GA 30460-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| 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.