Healthcare Provider Details

I. General information

NPI: 1417732793
Provider Name (Legal Business Name): ALLISON GREGG MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 KAYLEEN CT
DURHAM NC
27713-9679
US

IV. Provider business mailing address

212 KAYLEEN CT
DURHAM NC
27713-9679
US

V. Phone/Fax

Practice location:
  • Phone: 925-437-1661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: