Individual
GREGORY CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(904) 346-0113
Mailing address
1103 JULIANA ST, PARKERSBURG, WV 26101-4316
(304) 422-5680
(304) 424-4766
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
644
WV
363A00000X
Physician Assistant
Primary
102162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00248120
RAILROAD MEDICARE
WV
Enumeration date
06/05/2006
Last updated
06/04/2015
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