John K Petty, MD Valid NPI

Individual provider · Surgery Physician · Winston Salem, NC

NPI

1497731095

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

200501628 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-16

Last updated

2010-11-12