Provider Demographics
NPI:1164400099
Name:GREIG, SCOTT (AP)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:GREIG
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 SE 2ND ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3639
Mailing Address - Country:US
Mailing Address - Phone:954-525-4878
Mailing Address - Fax:
Practice Address - Street 1:717 SE 2ND ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3639
Practice Address - Country:US
Practice Address - Phone:954-525-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1021171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist