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NPI Code Detail

MEDICARE: DR. JAMES EDWARD GREER MD

MEDICARE: DR. JAMES EDWARD GREER MD
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
12084P0800XPsychiatry Physician6611RI
22084P0804XChild & Adolescent Psychiatry Physician6611RI

General Provider Information

NPI Number : 1548268303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EDWARD GREER MD
Provider Business Mailing Address
First Line : 45 ARNOLD AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02905-4013
Country : US
Telephone Number : 401-480-2769
Fax Number : 401-276-4571
Provider Business Practice Location Address
First Line : 520 HOPE ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-2532
Country : US
Telephone Number : 401-276-4155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 10/18/2013

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