Organization
TRI COUNTY OB GYN ASSOCIATES PLC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY STEWART SPAULDING M.D. (PARTNER)
(502) 222-5558
Entity
Organization
Contact information
Practice address
1023 NEW MOODY LANE, TRI COUNTY OB GYN ASSOCIATES INC SUITE 103, LA GRANGE, KY 40031-9179
(502) 222-5558
(502) 222-3040
Mailing address
1023 NEW MOODY LN STE 103, LA GRANGE, KY 40031-9179
(502) 222-5558
(502) 222-3040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149112
AMERIHEALTH
KY
01
—
2438489000
PASSPORT ADVANTAGE
KY
05
—
65935884
—
KY
Enumeration date
11/08/2006
Last updated
03/22/2017
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