Individual
DR. DAVID SCOTT GREENAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
62 LENOX POINTE NE, SUITE B, ATLANTA, GA 30324-7409
(904) 330-8204
Mailing address
4400 MARSH LANDING BLVD, UNIT 6, PONTE VEDRA BEACH, FL 32082-7215
(904) 473-7890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY003045
GA
103TC0700X
Clinical Psychologist
Primary
PY8690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555802958A
—
GA
Enumeration date
05/04/2006
Last updated
04/26/2013
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