Provider Demographics
NPI:1730491747
Name:FIRST CHOICE OB/GYN. PLLC
Entity Type:Organization
Organization Name:FIRST CHOICE OB/GYN. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-651-2229
Mailing Address - Street 1:507 S L ROGERS WELLS BLVD
Mailing Address - Street 2:SUITE C&D
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1043
Mailing Address - Country:US
Mailing Address - Phone:270-651-2229
Mailing Address - Fax:
Practice Address - Street 1:507 S L ROGERS WELLS BLVD
Practice Address - Street 2:SUITE C&D
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1043
Practice Address - Country:US
Practice Address - Phone:270-651-2229
Practice Address - Fax:270-651-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty