=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093810871
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCES CRAWFORD GREASON M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | JOHN UMSTEAD HOSPITAL 1003 12TH STREET
-----------------------------------------------------
City | BUTNER
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-575-7211
-----------------------------------------------------
Fax | 919-575-7006
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 128 TUSCARORA DR
-----------------------------------------------------
City | HILLSBOROUGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27278-2530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-732-9232
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 9300481
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------