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Contact Information

JERRY A GREGORY, PA
421 MAIN STREET
COLUMBIA, LA71418
 Phone: 318-649-6111
 Fax: 318-649-5094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JERRY A GREGORY · (Male)

NPI Number 1316055296
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/29/2006
Last updated 09/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 014368
Hospital affiliation(s)
  • STATEN ISLAND UNIVERSITY HOSPITAL - (Acute Care)
    475 SEAVIEW AVENUE
    STATEN ISLAND, NY 10305
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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