Individual
DR. OLIVER LEE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7345 COURAGE WAY, STE 101, CHATTANOOGA, TN 37421-1555
(423) 648-9290
(423) 499-2308
Mailing address
7345 COURAGE WAY, STE 101, CHATTANOOGA, TN 37421-1555
(423) 602-9791
(423) 499-2308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19965
TN
2084P0804X
Child & Adolescent Psychiatry Physician
19965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3870075
—
TN
01
—
4025692
BLUE CROSS
TN
01
—
4382001
AETNA
TN
01
—
E50707
UPIN
TN
Enumeration date
08/29/2006
Last updated
01/03/2019
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