Provider Demographics
NPI:1326075607
Name:GREGORY, CATHY M (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:M
Last Name:GREGORY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 W NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-1901
Mailing Address - Country:US
Mailing Address - Phone:843-669-7184
Mailing Address - Fax:
Practice Address - Street 1:305 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3323
Practice Address - Country:US
Practice Address - Phone:843-398-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC00016838363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner