Healthcare Provider Details

I. General information

NPI: 1578078895
Provider Name (Legal Business Name): ZACHARY CHAD GREER PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 3RD AVE LN SE
HICKORY NC
28602
US

IV. Provider business mailing address

1072 X RAY DR
GASTONIA NC
28054-7498
US

V. Phone/Fax

Practice location:
  • Phone: 828-328-3500
  • Fax: 828-328-8777
Mailing address:
  • Phone: 704-671-1094
  • Fax: 704-671-1095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: