MEDICARE: DR. COURTNEY KATRIL PETTIFORD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	64715	GA
2	208600000X	Surgery Physician	24518	WV

General Provider Information

NPI Number	:	1770700163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY KATRIL PETTIFORD M.D.

Provider Business Mailing Address
First Line	:	122 GEORGE ST.
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2641
Country	:	US
Telephone Number	:	304-250-0382
Fax Number	:	304-250-0383

Provider Business Practice Location Address
First Line	:	122 GEORGE ST
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2641
Country	:	US
Telephone Number	:	304-250-0382
Fax Number	:	304-250-0383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	04/26/2012

Similar Medicare Providers

1598623928 — ROBIN CROUCH
Practice Location Address:

254 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-0620
Practice Fax: 304-255-0620

1366300675 — TRACY RILEY
Practice Location Address:

254 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-0620
Practice Fax: 304-255-0620

1770682700 — MOUNTAIN STATE HOME HEALTH CARE, INC.
Practice Location Address:

254 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-256-8201
Practice Fax: 304-256-8204

1720167687 — DR. ALI AHMAD SULEIMAN MD
Practice Location Address:

242 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-7878
Practice Fax: 304-256-0060

1861693202 — ALI SULEIMAN MD INC
Practice Location Address:

242 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-7878
Practice Fax: 304-256-0060

1821295643 — AMERICARE MANAGEMENT SERVICES
Practice Location Address:

254 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-2997
Practice Fax: 304-256-8204

Directions to “ DR. COURTNEY KATRIL PETTIFORD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.