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Individual

DAVID GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
83528
SC
207P00000X
Emergency Medicine Physician
MT213435
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
835289
SC
Enumeration date
06/08/2017
Last updated
05/25/2021
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