Individual
MR. GREGORY EDWARD VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 KENDRICK COURT, FLAT ROCK, NC 28731-9786
(828) 696-8224
Mailing address
PO BOX 872, EAST FLAT ROCK, NC 28726-0872
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FCL-045-078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804745
—
NC
Enumeration date
02/14/2007
Last updated
07/08/2007
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