Individual
ERIC LANE GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
206 OLD BRICKYARD RD, NORTH WILKESBORO, NC 28659-8971
(336) 977-1511
Mailing address
103B SEXTON RD, WEST JEFFERSON, NC 28694-9315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7873145
NCDL
NC
Enumeration date
10/10/2018
Last updated
10/10/2018
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