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NPI Code Detail

MEDICARE: COURTNEY GREGGS

MEDICARE: COURTNEY GREGGS
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
1106S00000XBehavior Technician16-23077SC
2103K00000XBehavior Analyst1-21-52934SC

General Provider Information

NPI Number : 1124534714
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY GREGGS
Provider Business Mailing Address
First Line : 1321 MURFREESBORO PIKE STE 702
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-2679
Country : US
Telephone Number : 615-361-4000
Fax Number : 615-815-1946
Provider Business Practice Location Address
First Line : 1345 COMPANION CT
Second Line :
City : SUMTER
State : SC
Zip : 29150-1749
Country : US
Telephone Number : 803-905-5107
Fax Number : 615-815-1946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2017
Last Update Date : 10/14/2021

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Directions to “ COURTNEY GREGGS ” Practice Location

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