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Individual

CHARLES ELI GREGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1727 W NEW HOPE RD, GOLDSBORO, NC 27530-8114
(919) 736-7908
(770) 237-1124
Mailing address
PO BOX 465687, LAWRENCEVILLE, GA 30042-5687
(770) 237-1089

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19346
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36864
BCBS OF NC
NC
05
89-36864
NC
Enumeration date
03/15/2006
Last updated
01/09/2012
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