Healthcare Provider Details

I. General information

NPI: 1922154350
Provider Name (Legal Business Name): GREGORY PAUL DRISKILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 AL HIGHWAY 69
GUNTERSVILLE AL
35976-7140
US

IV. Provider business mailing address

2222 EAGLE MOUNTAIN RD
GUNTERSVILLE AL
35976-2356
US

V. Phone/Fax

Practice location:
  • Phone: 256-571-8000
  • Fax:
Mailing address:
  • Phone: 256-571-9085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number19325
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: