Provider Demographics
NPI:1619960465
Name:GREER, ANTHONY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:SCOTT
Last Name:GREER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 BENT CREEK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6482
Mailing Address - Country:US
Mailing Address - Phone:334-887-8707
Mailing Address - Fax:334-887-8706
Practice Address - Street 1:2353 BENT CREEK RD STE 110
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6482
Practice Address - Country:US
Practice Address - Phone:334-887-8707
Practice Address - Fax:334-887-8706
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023858207R00000X, 208000000X
MS18019207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08357259Medicaid
H45381Medicare UPIN
110001646Medicare ID - Type Unspecified