Search › Massachusetts › 2255A2300X
Gregory Southworth, LATC MED
NPI 1396097275 · on the registry since 2012 · sole proprietor
Practice
- Address
- 240 Sykes St
Palmer, MA 01069 - Phone
- (413) 283-9701
- Organisation at this address
- Pathfinder Regional Vocational High School District
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts