Individual
JUSTIN WAYNE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE B300, GREENVILLE, SC 29615-3593
(864) 454-4200
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4228
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39944
SC
207RP1001X
Pulmonary Disease Physician
Primary
39944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/22/2010
Last updated
01/13/2026
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