Individual
JERRY GLEN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
356 BILTMORE AVE, ASHEVILLE, NC 28801-4516
(828) 258-3500
(828) 258-8816
Mailing address
800 FLEMING ST, HENDERSONVILLE, NC 28791-3528
(828) 693-9560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1393A
CA BCBSNC GRP # 015HF
NC
05
—
8937157
—
NC
Enumeration date
07/03/2006
Last updated
07/09/2007
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