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NPI Code Detail

MEDICARE: MS. GRETA ELIZABETH GREER LCSW

MEDICARE: MS. GRETA ELIZABETH GREER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW001326GA

General Provider Information

NPI Number : 1053197087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GRETA ELIZABETH GREER LCSW
Provider Business Mailing Address
First Line : 2280 MARION CIR
Second Line :
City : DECATUR
State : GA
Zip : 30032-4032
Country : US
Telephone Number : 678-778-8036
Fax Number :
Provider Business Practice Location Address
First Line : 2280 MARION CIR
Second Line :
City : DECATUR
State : GA
Zip : 30032-4032
Country : US
Telephone Number : 678-778-8036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2023
Last Update Date : 09/06/2023

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