Individual
RICHARD PETRELLA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1497 FAIR RD STE 205, STATESBORO, GA 30458-0824
(912) 259-9881
(912) 259-9883
Mailing address
1497 FAIR RD STE 205, STATESBORO, GA 30458-0824
(912) 259-9881
(912) 259-9883
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
94630
GA
207RI0011X
Interventional Cardiology Physician
MD031766-E
PA
Other
Enumeration date
06/08/2005
Last updated
08/28/2023
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