Healthcare Provider Details

I. General information

NPI: 1447458757
Provider Name (Legal Business Name): CYNTHIA BROWN GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 RABBIT RUN RD
BOONE NC
28607-6829
US

IV. Provider business mailing address

224 RABBIT RUN RD
BOONE NC
28607-6829
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-8619
  • Fax:
Mailing address:
  • Phone: 828-264-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number1368
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: