Provider Demographics
NPI:1801085006
Name:WILLIAM T. GREER III M.D. P.C.
Entity type:Organization
Organization Name:WILLIAM T. GREER III M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:410-213-0111
Mailing Address - Street 1:12417 OCEAN GATEWAY A-5
Mailing Address - Street 2:HERRING CREEK PROFESSIONAL CENTER
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 GATEWAY A-5
Practice Address - Street 2:HERRING CREEK PROFESSIONAL CENTER
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035764207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD265MOtherMEDICARE IP
MDD61035Medicare UPIN