Individual
XAVIERA NICHOLLE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 FOREST DR APT 419, COLUMBIA, SC 29206-3178
(254) 290-6191
Mailing address
4615 FOREST DR APT 419, COLUMBIA, SC 29206-3178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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