Doctor Name: | ELIZABETH HOPE GREGORY |
NPI Number: | 1861797656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 177403 |
Business Practice Address: | 12711 Old Dayton Pike Soddy Daisy, TN - 373797750 |
Business Phone Number: | 4234517731 |
Business Fax Number: | |
Mailing Address: | 12711 Old Dayton Pike, SODDY DAISY |
State: | TN |
Postal Code: | 373797750 |
Phone Number: | 4234517731 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2011 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 177403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |