MEDICARE: DR. GREGORY PAUL PETRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	051265	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124023304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY PAUL PETRO MD

Provider Business Mailing Address
First Line	:	3333 JODECO ROAD
Second Line	:	SUITE A
City	:	MCDONOUGH
State	:	GA
Zip	:	30253
Country	:	US
Telephone Number	:	770-692-4000
Fax Number	:	770-474-8510

Provider Business Practice Location Address
First Line	:	3333 JODECO ROAD
Second Line	:	SUITE A
City	:	MCDONOUGH
State	:	GA
Zip	:	30253
Country	:	US
Telephone Number	:	770-692-4000
Fax Number	:	770-474-8510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	02/22/2024

Similar Medicare Providers

1487242780 — GRETCHEN EVANS
Practice Location Address:

832 SUMMIT PARK TRL
MCDONOUGH, GA
30253-7455

Practice Phone: 513-600-5403
Practice Fax:

1275098733 — ANGELICA NICOLE WILSON LPC
Practice Location Address:

228 PEBBLE CREEK DR
MCDONOUGH, GA
30253-7420

Practice Phone: 404-247-6072
Practice Fax:

1013859925 — THRIVE HEALTHCARE FUNCTIONAL & INTEGRATIVE MEDICINE, LLC
Practice Location Address:

1961 HIGHWAY 42 N
MCDONOUGH, GA
30253-4729

Practice Phone: 770-286-6597
Practice Fax:

1356863179 — DR. JAEPIL ERIC YOON MD
Practice Location Address:

101 REGENCY PARK DR STE 120
MCDONOUGH, GA
30253-7076

Practice Phone: 678-214-6111
Practice Fax: 770-506-9860

1134125248 — DR. RICHARD ERIC PAUL D.M.D.
Practice Location Address:

2340 PATRICK HENRY PKWY , STE 100
MCDONOUGH, GA
30253-4214

Practice Phone: 770-474-1260
Practice Fax: 770-474-9395

1245237700 — ALLAN B IMES JR. P.A.
Practice Location Address:

1631 HIGHWAY 20 W
MCDONOUGH, GA
30253-7311

Practice Phone: 770-288-2822
Practice Fax: 770-692-8177

Directions to “ DR. GREGORY PAUL PETRO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.