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William Jeffrey Petty JR.
Hematology & Oncology Physician in Winston Salem, North Carolina
NPI 1164406690

William Jeffrey Petty JR. is a Hematology & Oncology Physician based in Winston Salem, NC and is specialized in Hematology & Oncology. William Jeffrey Petty JR. practices in Winston Salem, NC. The NPI Number for William Jeffrey Petty JR. is 1164406690 and holds a License No. (North Carolina).

The current practice location address for William Jeffrey Petty JR. is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164406690
Provider Name
William Jeffrey Petty JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
144PR 01 BCBS
7391773 01 AETNA
Q0096P 05 SC
10420610 05 VA
182514 01 MEDCOST
5905804 05 NC
809211 01 PARTNERS
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
(North Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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