Individual
GREGORY WAYNE CHILDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 HOSPITAL DR, SUITE 5, COLUMBUS, MS 39705-1901
(662) 240-0095
(662) 240-0096
Mailing address
PO BOX 8700, 425 HOSPITAL DR, STE 5, COLUMBUS, MS 39705-0012
(662) 240-0095
(662) 240-0096
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
08923
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014256
—
MS
01
—
730-13919
BCBS OF ALABAMA
MS
Enumeration date
10/11/2006
Last updated
12/09/2021
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