Provider Demographics
NPI:1356005375
Name:MCNATT, GREGORY MAURICE AMEEN
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:MAURICE AMEEN
Last Name:MCNATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-0126
Mailing Address - Country:US
Mailing Address - Phone:267-665-8971
Mailing Address - Fax:
Practice Address - Street 1:103 HAMPSHIRE LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1772
Practice Address - Country:US
Practice Address - Phone:267-243-0475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide