Provider Demographics
NPI:1497802375
Name:GRECO, JOSEPH A III (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:GRECO
Suffix:III
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2695 OLD WINDER HWY
Mailing Address - Street 2:STE 150
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-6075
Mailing Address - Country:US
Mailing Address - Phone:678-400-0654
Mailing Address - Fax:678-400-0651
Practice Address - Street 1:2695 OLD WINDER HWY
Practice Address - Street 2:STE 150
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-6075
Practice Address - Country:US
Practice Address - Phone:678-400-0654
Practice Address - Fax:678-400-0651
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2011-07-05
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Provider Licenses
StateLicense IDTaxonomies
GA066041208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery