Provider Demographics
NPI:1457655441
Name:BOST, GRETA S
Entity Type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:S
Last Name:BOST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1378 ABBEY PLACE DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2854
Mailing Address - Country:US
Mailing Address - Phone:704-618-2253
Mailing Address - Fax:704-461-8495
Practice Address - Street 1:1378 ABBEY PLACE DR
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-2854
Practice Address - Country:US
Practice Address - Phone:704-618-2253
Practice Address - Fax:704-461-8495
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle