Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 216431 | NY |
Y | 207W00000X | Ophthalmologist | 32023 | AL |
N | 207W00000X | Ophthalmologist | ME104978 | FL |
NPI | 1023002193 |
---|---|
Provider Name | Gregory Nelson Joy |
First Address | Pensacola, FL 32504-8277 |
Second Address | Foley, AL 36535-4704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 03/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G78508 | (02) |