Individual
MR. MARK JOSEPH GIANGREGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Mailing address
161 LEES MILL RD, FAYETTEVILLE, GA 30214-3619
(716) 597-5725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RN318924
GA
363L00000X
Nurse Practitioner
Primary
RN318924
GA
Other
Enumeration date
10/04/2024
Last updated
04/28/2025
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