Provider Demographics
NPI:1831239268
Name:GREELEY-GARVIN, TAMMY ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:ANNE
Last Name:GREELEY-GARVIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 WHITING ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3824
Mailing Address - Country:US
Mailing Address - Phone:781-740-8831
Mailing Address - Fax:781-740-8769
Practice Address - Street 1:119 WHITING ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3824
Practice Address - Country:US
Practice Address - Phone:781-740-8831
Practice Address - Fax:781-740-8769
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007201281OtherAETNA
MAY36266OtherBLUE CROSS BLUE SHIELD
MA352020OtherHARVARD PILGRIM
MA466336OtherTUFTS
MA466336OtherTUFTS
MAY36266OtherBLUE CROSS BLUE SHIELD