Individual
MR. GREG HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5751 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2237
(931) 823-3030
(931) 823-3018
Mailing address
PO BOX 247, GAINESBORO, TN 38562-0247
(931) 268-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000008097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928190
—
TN
01
—
4090152
BLUE CROSS BLUE SHEILD
TN
Enumeration date
02/16/2007
Last updated
02/26/2015
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