Organization
ATHENS NORTH ALABAMA WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WHITE GROSS MD (OWNER)
(256) 233-1613
Entity
Organization
Contact information
Practice address
1005 W MARKET ST STE 7, ATHENS, AL 35611
(256) 233-1613
(256) 233-2391
Mailing address
1005 W MARKET ST STE 7, ATHENS, AL 35611
(256) 233-1613
(256) 233-2391
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
5678
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02511
BCBS
AL
Enumeration date
08/04/2006
Last updated
08/22/2020
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