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Contact Information

GREGORY W SHIELDS, MD
1108 ROSS CLARK CIR
DOTHAN, AL36301-3022
 Phone: 334-793-8087
 Fax: 334-793-8191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY W SHIELDS · (Male)

NPI # 1699733683
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 05/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00014931
  • AL Medicaid 000091248
  • FL Medicaid 061675300
  • GA Medicaid 537850840B
  • AL Other 051007047 BCBS AL
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
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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