Provider Demographics
NPI:1760465835
Name:GREER, WILLIAM THOMAS III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:THOMAS
Last Name:GREER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12417 OCEAN GTWY
Mailing Address - Street 2:SUITE A-5
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-9521
Mailing Address - Country:US
Mailing Address - Phone:410-213-0111
Mailing Address - Fax:410-213-8459
Practice Address - Street 1:12417 OCEAN GTWY
Practice Address - Street 2:SUITE A-5
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-9521
Practice Address - Country:US
Practice Address - Phone:410-213-0111
Practice Address - Fax:410-213-8459
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035764207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD61035Medicare UPIN
MD265M354FMedicare PIN