Tina Petok is a Gynecology in Charlotte, North Carolina. Tina Petok practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Tina Petok is 1861464810. The last update date is 2007-10-02.
Tina Petok's current location address is 8220 University Exec Park Dr, Charlotte, North Carolina. You can contact this provider via phone number 7045481221 and fax number 7045481311. The mailing address for Tina Petok is 8220 University Exec Park Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Petok |
|---|---|
| Address | 8220 University Exec Park Dr, Charlotte, North Carolina |
| Phone Number | 7045481221 |
| Fax Number | 7045481311 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861464810 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 8220 University Exec Park Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282623380 |
| Phone Number | 7045481221 |
| Fax Number | 7045481311 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 32417 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8967234 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tina Petok by the Centers for Medicare & Medicaid Services?
The Tina Petok has been issued the NPI (National Provider Identifier) 1861464810, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tina Petok's physical address?
The Tina Petok is physically located at 8220 University Exec Park Dr, in the city of Charlotte, NC, with the postal code 282623380.
What is Tina Petok's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tina Petok is Gynecology, and the corresponding taxonomy classification code for this specialized field is 207Vg0400X.
On what date did Tina Petok receive its 1861464810 assignment from the Centers for Medicare & Medicaid Services?
The Tina Petok was assigned its 1861464810 on 2006-02-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tina Petok most recently updated?
The details pertaining to the Tina Petok, including its address, specialty, and other relevant information, were last refreshed on 2007-10-02.