Laquetta N Pettway


Address: 1360 Montgomery Hwy 114, Vestavia, AL 35216-2750

Laquetta N Pettway (NPI# 1376588095, PAC ID# 8921133679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1376588095
PAC ID by PECOS 8921133679
Professional Enrollment ID I20100319000189
Full Name Laquetta N Pettway
Address 1360 Montgomery Hwy 114
Vestavia
AL 35216-2750
Gender F
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty EMERGENCY MEDICINE
Secondary Specialties FAMILY MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1360 Montgomery Hwy 114, Vestavia, AL 35216-2750

Organization Information

Office Location

Street Address 1360 MONTGOMERY HWY 114
City VESTAVIA
State AL
Zip 35216-2750

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Sonya R Harris Audiologist Balance and Hearing Center, Inc. 1280 Columbiana Rd, Birmingham, AL 35216-1642
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Competitor

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City VESTAVIA
Zip Code 35216
Specialty EMERGENCY MEDICINE
City + Specialty VESTAVIA + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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