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Individual

DR. GREGORY BORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1722 PINE ST, SUITE 804, MONTGOMERY, AL 36106-1103
(334) 834-7221
(334) 241-9848
Mailing address
1722 PINE ST, SUITE 804, MONTGOMERY, AL 36106-1103
(334) 834-7221
(334) 241-9848

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00014032
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000018828
AL
01
0004338378
AETNA
AL
01
040009936
RAILROAD MEDICARE
AL
01
51018828
BCBS
AL
01
630755234
GREAT WEST
AL
01
C67769
SENIORS FIRST
AL
Enumeration date
08/24/2006
Last updated
03/30/2011
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