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Contact Information

DR. MILTON GARY WALDROP
116 LAWRENCE DR
SUITE 1
COLUMBUS, MS39702-5319
 Phone: 662-328-9123
 Fax: 662-328-9152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR. MILTON GARY WALDROP

NPI Number 1740482306
LBN Legal business name DR. MILTON GARY WALDROP
Authorized official KRIS JOURDAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2007
Last updated 07/01/2008 - About 18 years ago
Identifiers
MS License # 1024-61
MS Other 425669694 SS#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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