Dr. Gregory Allen Waller
Obstetrician & Gynecologist
495 Taylor Rd
Montgomery
, Alabama 36117-3513
Dr. Gregory Allen Waller
Obstetrician & Gynecologist
495 Taylor Rd
Montgomery
, Alabama 36117-3513
(334) 279-9381
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Gregory Allen Waller
- 495 Taylor Rd
- Montgomery, AL
- Zip : 36117-3513
- Fax : (334) 279-9381
- Phone : (334) 279-9333
Second Address
- Dr. Gregory Allen Waller
- 495 Taylor Rd
- Montgomery, AL
- Zip : 36117-3513
- Fax : (334) 279-9381
- Phone : (334) 279-9333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 15908 | AL |
National Provider Identifier
| NPI | 1023036217 |
|---|---|
| Provider Name | Dr. Gregory Allen Waller |
| First Address | Montgomery, AL 36117-3513 |
| Second Address | Montgomery, AL 36117-3513 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7410287 | UNITED HEALTH CARE (01) | AL |
| B30667 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.