Provider Demographics
NPI:1184940777
Name:MCGETRICK, JOANNA L (MD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:L
Last Name:MCGETRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:109 WHITEHALL DR UNIT 117
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5266
Mailing Address - Country:US
Mailing Address - Phone:904-460-2388
Mailing Address - Fax:904-460-2689
Practice Address - Street 1:109 WHITEHALL DR UNIT 117
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5266
Practice Address - Country:US
Practice Address - Phone:904-460-2388
Practice Address - Fax:407-990-1179
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123823207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology