Basic Information
Provider Information
NPI: 1124087796
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GREEVER
FirstName: CARL
MiddleName: MARTIN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GREEVER
OtherFirstName: C.
OtherMiddleName: MARTIN
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 1100 TUNNEL RD
Address2: VA MEDICAL CENTER (11A)
City: ASHEVILLE
State: NC
PostalCode: 288052043
CountryCode: US
TelephoneNumber: 8282987911
FaxNumber: 8282995847
Practice Location
Address1: 1100 TUNNEL RD
Address2: VA MEDICAL CENTER (11A)
City: ASHEVILLE
State: NC
PostalCode: 288052043
CountryCode: US
TelephoneNumber: 8282987911
FaxNumber: 8282995847
Other Information
ProviderEnumerationDate: 03/21/2006
LastUpdateDate: 09/20/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036980GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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