Beverly D Gregory in Camp Springs - Physician Assistant
Beverly D Gregory - NPI 1871585091
Beverly D Gregory is a Physician Assistant in Camp Springs, Maryland. Beverly D Gregory practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Beverly D Gregory is 1871585091. The last update date is 2014-01-17.
Beverly D Gregory's current location address is 5801 Allentown Rd, Camp Springs, Maryland. You can contact this provider via phone number 2404271630 and fax number 2404922070. The mailing address for Beverly D Gregory is 5801 Allentown Rd, Camp Springs, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly D Gregory |
|---|---|
| Address | 5801 Allentown Rd, Camp Springs, Maryland |
| Phone Number | 2404271630 |
| Fax Number | 2404922070 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871585091 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2014-01-17 |
Provider Mailing Address Detail
| Address | 5801 Allentown Rd |
|---|---|
| City | Camp Springs |
| State | Maryland (MD) |
| Post Code | 207464563 |
| Phone Number | 2404271630 |
| Fax Number | 2404922070 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0003134 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Beverly D Gregory's area of specialization and corresponding taxonomy classification?
The Beverly D Gregory's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Beverly D Gregory receive its 1871585091?
The Beverly D Gregory was issued its 1871585091 on 2005-08-16, which is the date when the organization was assigned this unique identifier.
On what date did the Beverly D Gregory receive its 1871585091 assignment from the Centers for Medicare & Medicaid Services?
The Beverly D Gregory was assigned its 1871585091 by the Centers for Medicare & Medicaid Services on 2005-08-16.
As of what date were the Beverly D Gregory's details last updated?
The information pertaining to the Beverly D Gregory, including its address, specialty, and other details, was most recently updated on 2014-01-17.
As of what date were the details related to Beverly D Gregory most recently updated or revised?
The information pertaining to Beverly D Gregory, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-17.