# TRI COUNTY OB GYN ASSOCIATES PLC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649349911
- **Authorized official:** TIMOTHY STEWART SPAULDING M.D. (PARTNER)
- **Authorized official phone:** (502) 222-5558

## Contact information

- **Practice address:** 1023 NEW MOODY LANE, TRI COUNTY OB GYN ASSOCIATES INC SUITE 103, LA GRANGE, KY 40031-9179
- **Practice address phone:** (502) 222-5558
- **Practice address fax:** (502) 222-3040
- **Mailing address:** 1023 NEW MOODY LN STE 103, LA GRANGE, KY 40031-9179
- **Mailing address phone:** (502) 222-5558
- **Mailing address fax:** (502) 222-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 03/22/2017