Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101254910 | VA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 27799 | AL |
NPI | 1093923765 |
---|---|
Provider Name | Heather O Greer |
First Address | Daleville, VA 24083-3258 |
Second Address | Daleville, VA 24083-3258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 09/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01952891 | (05) | MS |
051106542 | BLUE CROSS (01) | AL |
110008 | (05) | AL |
110009 | (05) | AL |
119040 | (05) | AL |
51598200 | BLUE CROSS (01) | AL |
51598201 | BLUE CROSS (01) | AL |
P00821413 | RAILROAD MEDICARE (01) | AL |