Gregg, Justin Wayne
Gregg, Justin Wayne is an individual health care provider with primary practice located at 200 Patewood Dr Suite B300, Greenville SC 29615-3593. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gregg, Justin Wayne can be contacted via phone (864) 454-4200.Contact Information
Primary practice address
200 Patewood Dr Suite B300
Greenville SC 29615-3593
Phone: (864) 454-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4228 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 39944 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 39944 | South Carolina |
Profile Details
| NPI number | 1710208939 |
|---|---|
| LBN Legal business name | Gregg, Justin Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Jul 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710208939 | NPPES |
| South Carolina | MEDICAID | PENDING |
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