Individual
MR. GREGORY B NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-3368
(334) 953-8670
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-3368
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P14830
NC
225100000X
Physical Therapist
Primary
PTH11634
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y900T
BLUE SHIELD
FL
01
—
Y900U
BLUE SHIELD
FL
01
—
Y900V
BLUE SHIELD
FL
Enumeration date
12/07/2005
Last updated
01/27/2025
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