Individual
SPENCER MALONE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2323 21ST AVE S STE 400, NASHVILLE, TN 37212-4930
(615) 861-1114
(615) 965-4498
Mailing address
350 OLD HICKORY BLVD APT 4002, NASHVILLE, TN 37221-3040
(601) 606-2165
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4987
TN
Other
Enumeration date
05/12/2022
Last updated
05/18/2022
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