Individual
DR. GREGORY R MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
73 LONG STREET, MILLRY, AL 36558
(251) 846-3233
(251) 846-3224
Mailing address
PO BOX 465, MILLRY, AL 36558-0465
(251) 846-3233
(251) 846-3224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23499
MS
207Q00000X
Family Medicine Physician
Primary
MD30396
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181032
—
AL
Enumeration date
12/12/2007
Last updated
12/20/2022
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