Coley, Gregory William

Coley, Gregory William is an individual health care provider with primary practice located at 129 E Clark Blvd , Murfreesboro TN 37130-2112. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coley, Gregory William can be contacted via phone (615) 893-8847.

Contact Information

Primary practice address
129 E Clark Blvd Murfreesboro TN 37130-2112
Phone: (615) 893-8847
Fax: (615) 896-3677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1100 Tennessee

Profile Details

NPI number 1295760981
LBN Legal business name Coley, Gregory William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295760981 NPPES
Tennessee MEDICAID 3598283
Tennessee Other 4052027
Tennessee Other 9366060
Tennessee Other 2240263
Tennessee Other 3052066
Tennessee Other 0448280001
Tennessee Other 12642
Tennessee Other 3052066
Tennessee Other 7102000TN37130
Tennessee Other 1668918

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