Individual
DR. GREGORY PAUL PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Mailing address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
051265
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947108E
—
GA
05
—
000947108F
—
GA
05
—
000947108I
—
GA
Enumeration date
06/15/2005
Last updated
02/22/2024
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