Individual
MR. JOHN VERNON PETRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 E HOSPITAL DR, HATTIESBURG, MS 39402-1310
(601) 268-5144
(601) 268-5149
Mailing address
102 E HOSPITAL DR, HATTIESBURG, MS 39402-1310
(601) 268-5144
(601) 268-5179
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115554
—
MS
Enumeration date
08/10/2005
Last updated
03/07/2023
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