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Individual

DR. JOHN ANDREW PETERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
(336) 218-8490
(336) 299-6533
Mailing address
5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
(336) 218-8490
(336) 299-6533

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
409
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
409
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10387801
CAQH
NC
05
690193T
NC
05
890801U
NC
01
U22761
UPIN
NC
Enumeration date
05/08/2006
Last updated
10/08/2020
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