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NPI Code Detail

MEDICARE: COLETTE GREER DANIEL NP

MEDICARE: COLETTE GREER DANIEL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN085223GA

General Provider Information

NPI Number : 1538232376
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLETTE GREER DANIEL NP
Provider Business Mailing Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number : 706-660-8126
Provider Business Practice Location Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number : 706-660-8126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 09/27/2007

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