Provider Demographics
NPI:1134919384
Name:GREGORY, MARGARET KATHERINE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KATHERINE
Last Name:GREGORY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 HALO LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6826
Mailing Address - Country:US
Mailing Address - Phone:812-216-7455
Mailing Address - Fax:
Practice Address - Street 1:1887 HALO LN
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6826
Practice Address - Country:US
Practice Address - Phone:812-216-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC347470163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development