Individual
GREGORY F VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 PROFESSIONAL PLAZA DR, GREENEVILLE, TN 37745-5138
(423) 820-0432
(423) 525-8795
Mailing address
712 PROFESSIONAL PLAZA DR, GREENEVILLE, TN 37745-5138
(423) 820-0432
(423) 525-8795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38604
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
38604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3895386
—
TN
Enumeration date
06/13/2006
Last updated
08/24/2022
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