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Contact Information

GUY J PETRUZZELLI, MD, PHD
4700 WATERS AVE
SAVANNAH, GA31404
 Phone: 912-350-2299
 Fax: 912-350-2298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GUY J PETRUZZELLI · (Male)

NPI # 1528045481
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 12/30/2005
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 067957
  • GA Medicaid 003124903A
  • GA Medicaid 003124903B
  • SC Medicaid GA1328
  • GA Other P01069298 RAILROAD MEDICARE
  • GA Other P01109154 RAILROAD MEDICARE
  • GA Other 691344 WELLCARE
Hospital affiliation(s)
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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