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NPI Code Detail

MEDICARE: DR. EARL FRANKLIN GREER JR. EDD

MEDICARE: DR. EARL FRANKLIN GREER JR. EDD
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
1103T00000XPsychologist1703OH
2103TC0700XClinical Psychologist1703OH

General Provider Information

NPI Number : 1124243571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EARL FRANKLIN GREER JR. EDD
Provider Business Mailing Address
First Line : 1289 EAST LIVINGSTON AVENUE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205
Country : US
Telephone Number : 614-253-5574
Fax Number : 614-253-2053
Provider Business Practice Location Address
First Line : 1289 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2838
Country : US
Telephone Number : 614-253-5574
Fax Number : 614-253-2053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 10/21/2011

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