Individual
DANIEL GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5502 MARVIN SHIELDS BLVD, BLDG 472, GULFPORT, MS 39501-7000
(282) 822-5509
Mailing address
125 BRACKISH PL, OCEAN SPRINGS, MS 39564-3220
(409) 998-6995
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1821669318
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2021
Last updated
04/26/2023
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