| 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 |