Individual
JAMES E GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
TAYLOR MARION ST, COLUMBIA, SC 29220
(803) 296-5579
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5312
—
SC
Enumeration date
03/13/2014
Last updated
08/09/2018
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