Individual
DR. GREGORY JAY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10220 DIXIE BEELINE HIGHWAY, GUTHRIE, KY 42234-9310
(270) 220-0340
(270) 220-0341
Mailing address
480 HOPKINSVILLE STREET, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611268014
FEDERAL TAX ID#
KY
05
—
7100451250
—
KY
Enumeration date
07/04/2006
Last updated
03/21/2018
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