| Doctor Name: | GREGORY T. HUMPHREYS |
| NPI Number: | 1255418562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 00269 |
| Business Practice Address: | 112 S Reymann St Ranson, WV - 254381730 |
| Business Phone Number: | 3047253632 |
| Business Fax Number: | 3047258252 |
| Mailing Address: | Po Box 2217, WINCHESTER |
| State: | VA |
| Postal Code: | 226041417 |
| Phone Number: | 5406678975 |
| Fax Number: | 5406676589 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 00269 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |