Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY THOMAS STALLWORTH, M.D.
Active Sole ProprietorGREGORY THOMAS STALLWORTH, M.D. is a Emergency Medicine healthcare provider located in HOLLY SPRINGS, Mississippi. NPI 1043314057 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · HOLLY SPRINGS, MS
Registration Details
- NPI Number
- 1043314057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.739193191197 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00578 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1430 HWY 4-EASTHOLLY SPRINGS, MS, 38634Browse MS providers · Browse ZIP 38634
- Phone
- 6625513369
- Fax
- 6625513421
- Primary Specialty
-
Emergency Medicine
207P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.