Provider Demographics
NPI:1467779819
Name:GREER, MELISSA ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANN
Last Name:GREER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GAY ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3842
Mailing Address - Country:US
Mailing Address - Phone:484-920-3674
Mailing Address - Fax:484-397-1302
Practice Address - Street 1:500 GAY ST FL 1
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460
Practice Address - Country:US
Practice Address - Phone:484-920-3674
Practice Address - Fax:484-397-1302
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60897 - 21207Q00000X
PAOS017671207Q00000X
IL036133015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine