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Individual
DR. MICHAEL P GREGO
Active
Individual
DR. MICHAEL P GREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO02886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-2178870
TAX ID
GA
01
—
5248447 001
BLUE CROSS BLUE SHIELD
GA
01
—
CHIR002886
PRACTICE LICENSE
GA
Enumeration date
01/11/2007
Last updated
11/11/2014
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