Dr. Gretchen G Petterway
MD | Pediatrics | Female
Dr. Gretchen G Petterway, MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Gretchen G Petterway is also known as
Gretchen Gillyard.
Current practice location of Dr. Gretchen G Petterway is
9220 Ellerbe Rd, Suite 700, Shreveport, Louisiana - 71106-6739. She can be contacted on phone at
318-681-5282 and fax number 318-681-5284.
Dr. Gretchen G Petterway is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Gretchen G Petterway is
1174734818 which was assigned by NPPES on 24 May, 2007 and it was last updated on 02 Jan, 2017.
Dr. Gretchen G Petterway license number is
MD.202577 for Pediatrics (208000000X) in Louisiana.
Dr. Gretchen G Petterway is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Gretchen G Petterway basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Gretchen G Petterway |
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| Other Name : | Gretchen Gillyard |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Gretchen G Petterway address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9220 Ellerbe Rd, Suite 700
Shreveport, LA, 71106-6739
United States |
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| Phone Number : | 318-681-5282 |
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| Fax Number : | 318-681-5284 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174734818 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 May, 2007 |
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| Last Updated On : | 02 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gretchen G Petterway are as mentioned. Primary taxonomy code for Dr. Gretchen G Petterway, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD.202577 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gretchen G Petterway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1079219 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 919 Hidden Rdg
Irving, TX, 75038-3813
United States |
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| Phone Number : | 469-282-2711 |
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| Fax Number : | 469-282-0996 |
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Business Location:
Patients can refer following map for directions to
Dr. Gretchen G Petterway practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.