Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 26477 | AL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101254638 | VA |
NPI | 1760690440 |
---|---|
Provider Name | William J Greer |
First Address | Roanoke, VA 24013-2222 |
Second Address | Roanoke, VA 24013-2222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009910552 | (05) | AL |
009910553 | (05) | AL |
009910554 | (05) | AL |
009910556 | (05) | AL |
009910557 | (05) | AL |
009910630 | (05) | AL |
051542185 | BCBS (01) | AL |
051542186 | BCBS (01) | AL |
051542187 | BCBS (01) | AL |
051542188 | BCBS (01) | AL |
051542189 | BCBS (01) | AL |
051542190 | BCBS (01) | AL |