Paul Melvin Gregory Jr., NP-C
Nurse Practitioner, Adult Health in Winston Salem, NC. Individual provider (NPI-1).
NPI number1609097666
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1609097666
- Entity type
- Individual (NPI-1)
- Name
- Paul Melvin Gregory Jr.
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 0050-02296 | NC | Yes |
Practice location
1830 S Hawthorne RdWinston Salem, NC 27103-4014
Phone 336-765-0463 · Fax 336-768-9452
Mailing address
1830 S Hawthorne RdWinston Salem, NC 27103-4014
Phone 336-765-0463 · Fax 336-768-9452
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