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SERGIO GREGORETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, ROOM2144, AUGUSTA, GA 30912-0004
(706) 721-3873
(706) 721-7763
Mailing address
PO BOX 28068, CHATTANOOGA, TN 37424-8068
(877) 899-1033
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046596
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
339387
WELLCARE CMO
GA
01
550789920
TRICARE
GA
05
612949974A
GA
05
612949974B
GA
05
612949974D
GA
01
950123
BCBS
GA
05
G46596
SC
01
P00256115
RRMEDICARE
GA
Enumeration date
09/20/2006
Last updated
06/15/2008
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