Healthcare Provider Details

I. General information

NPI: 1316578925
Provider Name (Legal Business Name): GREGORY NAIM GEORGE PHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10059 E HIGHLAND RD
HOWELL MI
48843-1367
US

IV. Provider business mailing address

41 EDWARD ST
PONTIAC MI
48341-2013
US

V. Phone/Fax

Practice location:
  • Phone: 810-991-2352
  • Fax: 810-991-2354
Mailing address:
  • Phone: 248-390-4068
  • Fax: 810-991-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302411037
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: