Healthcare Provider Details

I. General information

NPI: 1184077661
Provider Name (Legal Business Name): ERIN GREGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3016 CANE CREEK RD
FAIRVIEW NC
28730-8743
US

IV. Provider business mailing address

145 CRAYTON CREEK WAY
ASHEVILLE NC
28803-4577
US

V. Phone/Fax

Practice location:
  • Phone: 828-628-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11378
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: