Individual
SERGIO GREGORETTI
Active
Individual
SERGIO GREGORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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