Provider Demographics
NPI:1457578023
Name:MCGREAL, NANCY M (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:M
Last Name:MCGREAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 TRENT DRIVE
Mailing Address - Street 2:DUMC 3913
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-684-1817
Mailing Address - Fax:919-681-8147
Practice Address - Street 1:200 TRENT DRIVE
Practice Address - Street 2:DUMC 3913
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-1817
Practice Address - Fax:919-681-8147
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-14392080P0206X
NC2009-10439207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036111000OtherMEDICAL LICENSE