NPI 1750734752

Demetria Pettaway

Practitioner Medical Technologist Mobile, AL

Practice location

Address: 1903 Spring Hill Ave, Mobile, AL 36607-2303
Phone: (251) 295-5110
Fax: (251) 545-4963

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Alabama →

Registry record

NPI: 1750734752
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2016
Record last updated: 14 Jul 2016

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.