Individual
MR. GREGORY PAUL GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MHS
Contact information
Practice address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 809-5000
Mailing address
3900 ACADIAN VILLAGE DR, OCEAN SPRINGS, MS 39564-6205
(228) 219-3064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R864500
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438566298
TRICARE
—
01
—
640942692
BLUE CROSS OF MS
—
05
—
GG00124973
—
MS
01
—
P00068088
RAILROAD MEDICARE
—
Enumeration date
02/23/2007
Last updated
01/17/2017
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