Individual
ELISE MARIE GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2554
AL
363A00000X
Physician Assistant
5841
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2023
Last updated
03/04/2025
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