Provider Demographics
NPI:1841804515
Name:GREER, DION
Entity Type:Individual
Prefix:
First Name:DION
Middle Name:
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 1:4 CROSSBILL DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7331
Mailing Address - Country:US
Mailing Address - Phone:864-238-3725
Mailing Address - Fax:864-373-9413
Practice Address - Street 1:4 CROSSBILL DR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7331
Practice Address - Country:US
Practice Address - Phone:864-238-3725
Practice Address - Fax:864-373-9413
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9404343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)