Individual
JOSHUA BAILEY GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 CAPITAL CIR NE STE 200, TALLAHASSEE, FL 32308-4391
(850) 558-1260
Mailing address
5638 ROCHAMBEAU DR, TALLAHASSEE, FL 32311-6036
(205) 382-1129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119560
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2023
Last updated
11/01/2024
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