Individual
DR. LARRY WAYNE GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 840-3480
(256) 840-3626
Mailing address
PO BOX 1164, DALTON, GA 30722-1164
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10548
AL
2085R0202X
Diagnostic Radiology Physician
Primary
10548
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557776
—
AL
Enumeration date
06/17/2006
Last updated
07/09/2012
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