Petro, Gregory Paul

Petro, Gregory Paul is an individual health care provider with primary practice located at 3333 Jodeco Road Suite A, Mcdonough GA 30253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Petro, Gregory Paul can be contacted via phone (770) 692-4000.

Contact Information

Primary practice address
3333 Jodeco Road Suite A Mcdonough GA 30253
Phone: (770) 692-4000
Fax: (770) 474-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 051265 Georgia

Profile Details

NPI number 1124023304
LBN Legal business name Petro, Gregory Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 22nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124023304 NPPES
Georgia MEDICAID 000947108E
Georgia MEDICAID 000947108I
Georgia MEDICAID 000947108F

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