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DEMETRIA PETTAWAY
NPI 1750734752
Specialist/Technologist, Pathology - Medical Technologist in Mobile, AL

Active since July 14, 2016
1903 SPRING HILL AVE, MOBILE, AL 36607(251) 295-5110(251) 545-4963 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetria Pettaway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIA PETTAWAY (NPI 1750734752) is an individual medical technologist in Mobile, Alabama and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1750734752
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameDEMETRIA PETTAWAY
Location Address1903 SPRING HILL AVEMobile, AL 36607-2303
Mailing Address1903 Spring Hill AveMobile, AL 36607-2303 · (251) 295-5110 · Fax (251) 545-4963
Phone(251) 295-5110
Fax(251) 545-4963
Sole ProprietorNo
Enumeration DateJuly 14, 2016
✔ NPI 1750734752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
1903 SPRING HILL AVE, Mobile, AL 36607
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA S MYERS OT
Occupational Therapist
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 476-0525
JOANNE LUTERMAN OT
Occupational Therapist
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 476-0525
SHAUNA BERG
Technician, Pathology (Phlebotomy)
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 295-5110
ALEXANDRIA SHORIE' GARDNER BCBA
Behavior Analyst
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 586-4129
ONE SOURCE OF THE GULF COAST INC.
Prosthetic/Orthotic Supplier
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 459-8600
ARKEYA MITCHELL
Technician, Pathology (Phlebotomy)
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 295-5110
MELISSA J BEACH MS, CCC-SLP
Speech-Language Pathologist
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 476-0525
NANCY K EDWARDS PT
Physical Therapist
1903 SPRING HILL AVE
MOBILE, AL 36607
Mobile County (251) 476-0525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetria Pettaway's NPI number?

The NPI number for Demetria Pettaway is 1750734752. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Demetria Pettaway located?

Demetria Pettaway practices at 1903 Spring Hill Ave, Mobile, AL 36607. The listed phone number is (251) 295-5110.

What is Demetria Pettaway's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Demetria Pettaway was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.