Organization
COLUMBUS OBGYN SPECIALTY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WAYNE CHILDREY M.D. (MEMBER)
(662) 240-0095
Entity
Organization
Contact information
Practice address
425 HOSPITAL DR, SUITE 5, COLUMBUS, MS 39705-1901
(662) 240-0095
(662) 240-0096
Mailing address
425 HOSPITAL DR STE 5, P.O. BOX 8700, COLUMBUS, MS 39705-1938
(662) 240-0095
(662) 240-0096
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02285027
—
MS
Enumeration date
10/13/2006
Last updated
08/22/2020
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