Healthcare Provider Details

I. General information

NPI: 1952187692
Provider Name (Legal Business Name): MORGAN GREB RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 JANE EDWARDS RD
EDISTO ISLAND SC
29438-6504
US

IV. Provider business mailing address

8548 WILLTOWN RD
YONGES ISLAND SC
29449-5501
US

V. Phone/Fax

Practice location:
  • Phone: 843-869-4805
  • Fax:
Mailing address:
  • Phone: 843-889-2976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number210144
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: