Provider Demographics
NPI:1811537574
Name:GREGORY, ANTHONY LANCE (NP)
Entity type:Individual
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First Name:ANTHONY
Middle Name:LANCE
Last Name:GREGORY
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Gender:M
Credentials:NP
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Mailing Address - Street 1:771 ROUNDTREE DR SW STE A
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:GA
Mailing Address - Zip Code:39842-1683
Mailing Address - Country:US
Mailing Address - Phone:229-270-1905
Mailing Address - Fax:229-270-1915
Practice Address - Street 1:771 ROUNDTREE DR SW STE A
Practice Address - Street 2:
Practice Address - City:DAWSON
Practice Address - State:GA
Practice Address - Zip Code:39842-1683
Practice Address - Country:US
Practice Address - Phone:229-270-1905
Practice Address - Fax:229-270-1915
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2025-07-21
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Provider Licenses
StateLicense IDTaxonomies
GARN219164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily