person
Dr. John Andrew Petery, DPM
Foot & Ankle Surgery Podiatrist in Greensboro, North Carolina
NPI 1811946965

John Andrew Petery is a Foot & Ankle Surgery Podiatrist based in Greensboro, NC and is specialized in Foot & Ankle Surgery. John Andrew Petery practices in Greensboro, NC and has the professional credentials of DPM. The NPI Number for John Andrew Petery is 1811946965 and holds a License No. 409 (North Carolina).

The current practice location address for John Andrew Petery is 5921 W Friendly Ave Ste D, Greensboro, NC and can be reached out via phone at 336-218-8490 and via fax at 336-299-6533.

Location: 5921 W Friendly Ave Ste D, Greensboro, NC, 27410-3268
person
Provider Profile Details
NPI Number
1811946965
Provider Name
John Andrew Petery
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5921 W Friendly Ave Ste D, Greensboro, NC, 27410-3268
Phone Number
336-218-8490
Fax Number
336-299-6533
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U22761 01 NC UPIN
690193T 05 NC
890801U 05 NC
10387801 01 NC CAQH
institution
Provider Business Practice Location Address Details
Address
5921 W Friendly Ave Ste D
City
State
Zip
27410-3268
Phone Number
336-218-8490
Fax Number
336-299-6533
person
Provider Business Mailing Address Details
Address
5921 W Friendly Ave Ste D
City
State
Zip
27410-3268
Phone Number
336-218-8490
Fax Number
336-299-6533
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
409 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
409 (North Carolina)
Definition
Definition to come...
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