Individual
GREGORY ALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 WINSTON DR, LILLINGTON, NC 27546-5166
(540) 514-4744
Mailing address
212 WINSTON DR, LILLINGTON, NC 27546-5166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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