NPI 1457996712

Dennis Wayne Pettis

Practitioner Driver Shelby, NC

Practice location

Address: 420 E Homestead Ave, Shelby, NC 28152-9502
Phone: (704) 477-0852
Fax: (704) 867-1414

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in North Carolina →

Registry record

NPI: 1457996712
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2019
Record last updated: 11 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.