Provider Demographics
NPI:1245248129
Name:GREER, W ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:W
Middle Name:ANTHONY
Last Name:GREER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILSON
Other - Middle Name:ANTHONY
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1305 BOCAGE CV
Mailing Address - Street 2:#102
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-8939
Mailing Address - Country:US
Mailing Address - Phone:901-570-6169
Mailing Address - Fax:
Practice Address - Street 1:7733 EAST JEFFERSON
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214
Practice Address - Country:US
Practice Address - Phone:313-499-4666
Practice Address - Fax:313-499-4089
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL801689207W00000X
NY216214-1207W00000X
MD899745207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology