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NPI Code Detail

MEDICARE: GREGORY DAVIS BEBB

MEDICARE: GREGORY DAVIS BEBB
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5022427NC

General Provider Information

NPI Number : 1295623817
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY DAVIS BEBB
Provider Business Mailing Address
First Line : 6741 BROMWICH LN APT 208
Second Line :
City : RALEIGH
State : NC
Zip : 27607-5284
Country : US
Telephone Number : 207-951-4069
Fax Number :
Provider Business Practice Location Address
First Line : 3643 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2702
Country : US
Telephone Number : 919-470-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 03/11/2026

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Directions to “ GREGORY DAVIS BEBB ” Practice Location

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