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Contact Information

JOHN N PETELOS, MD
5295 PRESERVE PARKWAY
SUITE 100
HOOVER, AL35244
 Phone: 205-987-4444
 Fax: 205-987-4451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN N PETELOS · (Male)

NPI # 1255350963
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 01/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 11468
  • AL Medicaid 000026579
  • AL Medicaid 009911025
  • AL Other 51026579 BLUE CROSS OF ALABAMA
  • AL Other 51510837 BLUE CROSS OF ALABAMA
Hospital affiliation(s) Not Available
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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