Provider Demographics
NPI:1750807277
Name:GREIVE, THOMAS EDWIN JR (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EDWIN
Last Name:GREIVE
Suffix:JR
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:94 MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-802-0889
Mailing Address - Fax:843-802-0890
Practice Address - Street 1:94 MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-802-0889
Practice Address - Fax:843-802-0890
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0550237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist