1760751325 NPI number — MR. DAVID NATHAN GREER SR. R.PH.

Table of content: MR. DAVID NATHAN GREER SR. R.PH. (NPI 1760751325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760751325 NPI number — MR. DAVID NATHAN GREER SR. R.PH.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREER
Provider First Name:
DAVID
Provider Middle Name:
NATHAN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
SR.
Provider Credential Text:
R.PH.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760751325
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7048 DOVE POINT LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOSCHTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30548-4118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-234-9139
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2557 ARROWHEAD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALEXANDER CITY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35010-7314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-234-5439
Provider Business Practice Location Address Fax Number:
256-234-3336
Provider Enumeration Date:
12/27/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH027577 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 183500000X , with the licence number: 7985 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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