Individual
DR. GARRETT GREENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 GRIFFITH ST STE 205, DAVIDSON, NC 28036-9307
(704) 372-7974
(704) 372-8201
Mailing address
3426 TORINGDON WAY STE 108, CHARLOTTE, NC 28277-3497
(704) 372-7974
(704) 970-4746
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2020011722
MO
207RG0100X
Gastroenterology Physician
Primary
2023-01019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021045755
PERMANENT MISSOURI STATE LICENSE
MO
01
—
2023-01019
NCMB
NC
Enumeration date
03/20/2017
Last updated
01/13/2026
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