Provider Demographics
NPI:1568741627
Name:TROY REGIONAL PHYSICIANS INC
Entity Type:Organization
Organization Name:TROY REGIONAL PHYSICIANS INC
Other - Org Name:GYNECOLOGY AT TROY REGIONAL PHYSICIANS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:334-670-5427
Mailing Address - Street 1:1330 HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3058
Mailing Address - Country:US
Mailing Address - Phone:334-670-5000
Mailing Address - Fax:334-670-5446
Practice Address - Street 1:1340 HIGHWAY 231 S
Practice Address - Street 2:SUITE 4
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3011
Practice Address - Country:US
Practice Address - Phone:334-670-5000
Practice Address - Fax:334-670-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty