Male or Other

Cameron I. Gregory

Home Health Agency in Maynardville, TN(View on Map)

Full Name

Cameron Isaiah Gregory

NPI Number

1811593007

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/11/2020

Specialties

(Taxonomies)

Code

251E00000X
372500000X
374U00000X
376J00000X
253Z00000X

Primary Taxonomy

Yes
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

514 LOYSTON RD
514 LOYSTON RD

City

Maynardville
Maynardville

State

TN
TN

Postal Code

37807-2200
37807-2200

Country

US
US

Telephone Number

N/A
(254) 768-4740

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/14/2020

Provider Address