Coastal Ob Gyn Pa

NPI 1023168671 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1023168671
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY K GREGORY
Position PRESIDENT
Phone (850) 785-0515
Fax (850) 785-1995
Practice Location
600 N COVE BLVD
PANAMA CITY FL, 32401-3628, US
Phone (850) 785-0515
Fax (850) 785-1995
Business Location
600 N COVE BLVD
PANAMA CITY FL, 32401-3628, US
Phone (850) 785-0515
Fax (850) 785-1995
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME65397
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According to our database, Coastal Ob Gyn Pa NPI is 1023168671, taxonomy code is 207V00000X and license number is ME65397, license state is located at Florida. Coastal Ob Gyn Pa physically located at 600 N Cove Blvd, Panama City FL, 32401-3628. NPI Number 1033115704 has the healthcare provider type.

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1023168671 NPI number is provided on an as is basis without warranty of any kind. 1023168671 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Ob Gyn Pa are for informational purposes only.