Provider Demographics
NPI:1568016905
Name:GREER, BILLY LOUIS
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:LOUIS
Last Name:GREER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 BALTIMORE ANNAPOLIS BLVD # 6
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1815
Mailing Address - Country:US
Mailing Address - Phone:410-431-5200
Mailing Address - Fax:
Practice Address - Street 1:1195 BALTIMORE ANNAPOLIS BLVD # 6
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1815
Practice Address - Country:US
Practice Address - Phone:410-431-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer