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Contact Information

GREGORY T STALLWORTH, MD
1430 HWY 4-EAST
HOLLY SPRINGS, MS38634
 Phone: 662-551-3369
 Fax: 662-551-3421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GREGORY T STALLWORTH · (Male)

NPI Number 1043314057
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 00578
  • MS Medicaid 00116623
Hospital affiliation(s)
  • ALLIANCE HEALTHCARE SYSTEM - (Acute Care)
    1430 HIGHWAY 4 EAST / P O BOX 6000
    HOLLY SPRINGS, MS 38635
  • BAPTIST MEMORIAL HOSPITAL UNION COUNTY - (Acute Care)
    200 HWY 30 WEST
    NEW ALBANY, MS 38652
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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