Individual
DR. GREGORY ALLEN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9381
Mailing address
495 TAYLOR RD, MONTGOMERY, AL 36117-3513
(334) 279-9333
(334) 279-9381
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15908
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7410287
UNITED HEALTH CARE
AL
Enumeration date
07/17/2006
Last updated
07/08/2007
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