Provider Demographics
NPI:1649588161
Name:SAY, GREGORY W
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:W
Last Name:SAY
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 1:4209 LASSITER MILL RD
Mailing Address - Street 2:APT 426
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5794
Mailing Address - Country:US
Mailing Address - Phone:607-742-6410
Mailing Address - Fax:
Practice Address - Street 1:3590 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3408
Practice Address - Country:US
Practice Address - Phone:252-443-5101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist