Individual
MERRILL DEPETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(706) 692-2441
Mailing address
6010 RILEY RD, CUMMING, GA 30028-5927
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RN108911
GA
363L00000X
Nurse Practitioner
Primary
RN108911
GA
Other
Enumeration date
08/01/2006
Last updated
10/08/2025
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