DR. GEORGE JOSEPH PETRO JR. (NPI# 1164522330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164522330 |
| Entity Type | Individual |
| Full Name | DR. GEORGE JOSEPH PETRO JR. |
| Credential | M.D. |
| Practice Address |
108 Prominence Ct Ste 200 Dawsonville GA 30534-6340 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7063446950 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 062155 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 062155 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844547 | George Petro | Radiology | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2006-03-08 |
| 1427040757 | George C Petro | Psychiatry & Neurology | 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777-2316 | 2005-08-23 |
| Street Address |
108 PROMINENCE CT STE 200 |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30534-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610711 | Dawn Sosebee | Nurse Practitioner | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2005-06-27 |
| 1821647215 | Katelyn Westbrook Goodwin | Nurse Practitioner | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2019-09-09 |
| 1477038107 | Paige Reece Hood | Nurse Practitioner | 108 Prominence Ct Ste 200, Dawsonville, GA 30534 | 2018-09-28 |
| 1457702862 | Soo Jin Lee | Family Medicine | 108 Prominence Ct Ste 200, Dawsonville, GA 30534 | 2016-06-27 |
| 1699120964 | John Travis Nelson | Family Medicine | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2016-04-25 |
| 1700264728 | Trey Gunter | Family Medicine | 108 Prominence Ct Ste 200, Dawsonville, GA 30534 | 2015-05-11 |
| 1528040458 | William Angelo Primos Jr. | Pediatrics | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175331 | Sharon Redd | Occupational Therapist | 923 Riverbend Rd, Dawsonville, GA 30534 | 2018-05-18 |
| 1588103808 | Hearing Aid Solutions LLC | Hearing Instrument Specialist | 169 Hwy 9, Suite 100, Dawsonville, GA 30534 | 2017-02-20 |
| 1881140598 | Meagan Wilson | Registered Nurse | 6002 Ga 53, Suite 100, Dawsonville, GA 30534 | 2016-09-01 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1174961304 | Meredith Michelle Tatum Hulsey | Physician Assistant | 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 | 2013-06-10 |
| 1932467115 | David Kenneth Woolsey | Chiropractor | 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 | 2012-04-25 |
| 1275836769 | Martha Leslie Baker | Counselor | 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 | 2010-12-06 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1801123302 | Sj&j Spine and Pain Group | Pain Medicine | 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 | 2009-11-04 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| Find all providers in zip 30534 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886678 | Hema Byrapuneni | Internal Medicine | 133 Prominence Ct, Ste 230, Dawsonville, GA 30534-8951 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407752 | Neighbormd of Atlanta LLC | Internal Medicine | 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 | 2020-11-06 |
| 1053912907 | Neighbormd of North Atlanta LLC | Internal Medicine | 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 | 2020-11-06 |
| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1770182586 | Nuberty Inc | Internal Medicine | 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 | 2020-10-22 |
| 1427664333 | Nations Medical Clinic Inc | Internal Medicine | 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 | 2020-09-17 |
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1013529577 | Willy Armand Yougang Tchoutang | Internal Medicine | 120 Stoney Creek Dr, Kathleen, GA 31047-3120 | 2020-08-17 |
| 1841800679 | Om Primary Care LLC | Internal Medicine | 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | DAWSONVILLE |
| Zip Code | 30534 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.