Glenda V Pettaway, MD | |
215 N Coleman St, Swainsboro, GA 30401-3530 | |
(478) 237-2638 | |
(478) 237-9138 |
Full Name | Glenda V Pettaway |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 215 N Coleman St, Swainsboro, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841422359 | NPI | - | NPPES |
000632376I | Medicaid | GA | |
269902777A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 062456 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Glenda V Pettaway, MD 215 N Coleman St, Swainsboro, GA 30401-3530 Ph: (478) 237-2638 | Glenda V Pettaway, MD 215 N Coleman St, Swainsboro, GA 30401-3530 Ph: (478) 237-2638 |
Claudio D Machado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 N Coleman St, Swainsboro, GA 30401 Phone: 478-299-6992 | |
Dr. Cheryl Taylor Cliff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 N Coleman St, Swainsboro, GA 30401 Phone: 478-237-2638 Fax: 478-237-9138 |