Individual
BARBARA F GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
(843) 567-3206
(843) 567-3287
Mailing address
PO BOX 118008, CHARLESTON, SC 29423-8008
(843) 567-3206
(843) 567-6287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F2390
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0061
—
SC
01
—
P00928291
RR MEDICARE
SC
Enumeration date
08/23/2005
Last updated
07/06/2011
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