Individual
DR. CAROLYN BARNWELL PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
696 GRAYSON HWY, FAMILY PRACTICE CLINIC PC, LAWRENCEVILLE, GA 30046-6372
(770) 963-0927
(770) 963-9772
Mailing address
696 GRAYSON HIGHWAY, FAMILY PRACTICE CLINIC PC, LAWRENCEVILLE, GA 30046-6372
(770) 963-0927
(770) 963-9772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026914
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302222A
—
GA
Enumeration date
08/24/2006
Last updated
08/30/2010
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