Individual
JUSTIN WESLEY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 S KISHACOQUILLAS ST, BELLEVILLE, PA 17004-8620
(717) 935-2065
(717) 935-5560
Mailing address
1200 LAKE MARIE RD, GALLATIN, TN 37066-8701
(615) 979-7757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
06/06/2024
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