Provider Demographics
NPI:1356319602
Name:UHL, GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:UHL
Suffix:
Gender:M
Credentials:MD
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 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-658-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:438 E. VANN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-7332
Practice Address - Country:US
Practice Address - Phone:423-230-5085
Practice Address - Fax:423-230-5097
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052100207RC0000X
TN39008207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00972353EMedicaid
GA06BDJBTMedicare PIN
GADC8040Medicare PIN
GA00972353EMedicaid