Individual
MR. GREGORY STEPHEN EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5619 QUEBEC DR, COLUMBUS, GA 31907-6741
(404) 987-6855
Mailing address
5619 QUEBEC DR, COLUMBUS, GA 31907-6741
(404) 987-6855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN188846
GA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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