Provider Demographics
NPI:1154426872
Name:EUDY, GREG E (MD PC)
Entity type:Individual
Prefix:DR
First Name:GREG
Middle Name:E
Last Name:EUDY
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2022 BROOKWOOD MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-877-2955
Mailing Address - Fax:205-877-2969
Practice Address - Street 1:2022 BROOKWOOD MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 211
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-877-2955
Practice Address - Fax:205-877-2969
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL25913207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0515554824Medicare ID - Type Unspecified
I07291Medicare UPIN