MEDICARE: MORGAN GREB RN

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
1	163WS0200X	School Registered Nurse	210144	SC

General Provider Information

NPI Number	:	1952187692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN GREB RN

Provider Business Mailing Address
First Line	:	8548 WILLTOWN RD
Second Line	:
City	:	YONGES ISLAND
State	:	SC
Zip	:	29449-5501
Country	:	US
Telephone Number	:	843-889-2976
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 JANE EDWARDS RD
Second Line	:
City	:	EDISTO ISLAND
State	:	SC
Zip	:	29438-6504
Country	:	US
Telephone Number	:	843-869-4805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	08/26/2025

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