Gregory Paul Petro in Stockbridge - Cardiovascular Disease
Gregory Paul Petro - NPI 1124023304
Gregory Paul Petro is a Cardiovascular Disease in Stockbridge, Georgia. Gregory Paul Petro practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gregory Paul Petro is 1124023304. The last update date is 2020-09-30.
Gregory Paul Petro's current location address is 350 Country Club Dr, Stockbridge, Georgia. You can contact this provider via phone number 7706924000 and fax number 7704748510. The mailing address for Gregory Paul Petro is 350 Country Club Dr, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Paul Petro |
|---|---|
| Address | 350 Country Club Dr, Stockbridge, Georgia |
| Phone Number | 7706924000 |
| Fax Number | 7704748510 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124023304 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2020-09-30 |
Provider Mailing Address Detail
| Address | 350 Country Club Dr |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 3028190840 |
| Phone Number | 7706924000 |
| Fax Number | 7704748510 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 51265 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000947108F | GA | -- | |
| 000947108I | GA | -- | |
| 000947108E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory Paul Petro by the Centers for Medicare & Medicaid Services?
The Gregory Paul Petro has been assigned the NPI (National Provider Identifier) 1124023304 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gregory Paul Petro is physically located?
The Gregory Paul Petro is physically situated at the following address: 350 Country Club Dr, Stockbridge, GA, 3028190840.
What is Gregory Paul Petro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Paul Petro's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
When did Gregory Paul Petro receive its 1124023304 assignment?
The Gregory Paul Petro was assigned its 1124023304 on 2005-06-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Gregory Paul Petro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Paul Petro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-30.