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Individual

JOE B GILETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE 125, ATLANTA, GA 30342-1703
(404) 255-2918
(404) 255-5837
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 125, ATLANTA, GA 30342-1703
(404) 255-2918
(404) 255-5837

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301071148
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003107365A
GA
05
003107365B
GA
01
202I040396
MEDICARE PTAN
GA
Enumeration date
01/15/2007
Last updated
11/10/2011
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