Julio Petilon (NPI# 1245205020, PAC ID# 4981736204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1245205020 |
| PAC ID by PECOS | 4981736204 |
| Professional Enrollment ID | I20191025000959 |
| Full Name | Julio Petilon |
| Address |
2400 Wisteria Dr Suite A Snellville GA 30078-2689 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Street Address |
2400 WISTERIA DR SUITE A |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-2689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel Warner Jr. | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Kelsi Norton | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Joseph D Johnson | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Laura P Guigou | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Andrew A Rigney | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| John Watkins | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Sarah M Ritchie | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Lauren Alesch | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SNELLVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Julio Petilon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.