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Individual
MR. MARK JOSEPH GIANGREGORIO
Active
Individual
MR. MARK JOSEPH GIANGREGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RN318924
GA
363L00000X
Nurse Practitioner
Primary
RN318924
GA
Other
Enumeration date
10/04/2024
Last updated
04/28/2025
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