Individual
MR. RICHARD GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 641-7150
Mailing address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
103021
NC
363AM0700X
Medical Physician Assistant
Primary
103021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136YA
BCBS
NC
05
—
89130F0
—
NC
Enumeration date
02/09/2007
Last updated
12/02/2025
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