Individual
WILLIE E. GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9260
(601) 703-4050
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05788
MS
208D00000X
General Practice Physician
05788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123320
—
MS
05
—
009966405
—
AL
01
—
730-14246
BLUE CROSS OF AL
—
01
—
P00147063
RAILROAD MEDICARE
—
Enumeration date
11/18/2005
Last updated
10/02/2024
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