Individual
JEFFREY A PETRINITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2706 SAINT JUDE ST, GREENSBORO, NC 27405-3670
(336) 375-6990
(336) 375-0361
Mailing address
2706 SAINT JUDE ST, GREENSBORO, NC 27405-3670
(336) 375-6990
(336) 375-0361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54073
MEDCAST
—
01
—
67229
BCBS
—
05
—
8967229
—
NC
Enumeration date
09/15/2006
Last updated
07/11/2010
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