Provider Demographics
NPI:1558844423
Name:CLEMONS, GREER LEILA (DC)
Entity Type:Individual
Prefix:
First Name:GREER
Middle Name:LEILA
Last Name:CLEMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 EDMOND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3562
Mailing Address - Country:US
Mailing Address - Phone:603-444-9220
Mailing Address - Fax:
Practice Address - Street 1:140 EDMOND AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3562
Practice Address - Country:US
Practice Address - Phone:603-444-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3629111N00000X
NH1044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor