License holder summary

PETTIS, SAMUEL REYNARD, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PETTIS, SAMUEL REYNARD, MD is 1708 S. YAKIMA AVE. | STE. 107, TACOMA 98102. This doctor license is current. The license was granted 08/03/1995 and expired on 12/31/2017.

Georgia

Composite Medical Board

PETTIS, SAMUEL REYNARD, MD
Medical - Physician
License number
040515
Date granted
08/03/1995
Date expires
12/31/2017
Class
Medical - Physician
Status
Active
Address
1708 S. YAKIMA AVE. | STE. 107
georgiadoctors.net
ID 38072638
LAST UPDATED 2021-07-01 20:42:18 UTC

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