person
Aidan Petrovich
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1619617735

Aidan Petrovich is a Student in an Organized Health Care Education/Training Program based in Crystal Beach, GA. Aidan Petrovich practices in Lawrenceville, GA. The NPI Number for Aidan Petrovich is 1619617735 and holds a License No. (Georgia).

The current practice location address for Aidan Petrovich is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 678-312-1000.

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 34681-0512
person
Provider Profile Details
NPI Number
1619617735
Provider Name
Aidan Petrovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Medical Center Blvd, Lawrenceville, GA, 34681-0512
Phone Number
678-312-1000
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
State
Zip
30046-7694
Phone Number
678-312-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
State
Zip
30046-7694
Phone Number
678-312-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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