Provider Demographics
NPI:1437290764
Name:MCGREGOR, ALYSON J (MD)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:J
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:701 GROVE RD FL 1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4210
Practice Address - Country:US
Practice Address - Phone:864-455-7899
Practice Address - Fax:864-455-5474
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2022-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI00338207P00000X
SC86975207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI04/15/2009OtherUNITED HEALTHCARE
RI08/09/2007OtherNHPRI
RI007059530OtherRI MEDICARE
RI07/24/2007OtherBCBSRI
RI1962455022OtherUEMF GROUP NPI
MA2136392Medicaid
MA12/29/2008OtherTUFTS HEALTH PLAN
RI1437290Medicaid
RI939025129OtherRI MEDICARE GROUP NUMBER
RI1437290764OtherNPI