=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487145322
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JEREMY GREER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2018
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 232 ASSOCIATES BLVD
-----------------------------------------------------
City | ALCOA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37701-1943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-238-6450
-----------------------------------------------------
Fax | 865-238-6451
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 E MCBEE AVE FL 4
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29601-2842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number | 64975
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------