Most Relevant Information
Provider Data
| NPI Number: | 1003599564 |
| Provider Name: | JOSHUA BAILEY GREGG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2023 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
2160 CAPITAL CIR NE STE 200
TALLAHASSEE
FL
323084391
Practice Location Phone/Fax
| Phone: | 8505581260 |
| Fax: |
Provider Mailing Location
5638 ROCHAMBEAU DR
TALLAHASSEE
FL
323116036
Provider Mailing Phone/Fax
| Phone: | 2053821129 |
| Fax: |