Provider Demographics
NPI:1700807039
Name:THE OB GYN CLINIC P.A.
Entity Type:Organization
Organization Name:THE OB GYN CLINIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:601-442-3701
Mailing Address - Street 1:136 JEFFERSON DAVIS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-5104
Mailing Address - Country:US
Mailing Address - Phone:601-442-3701
Mailing Address - Fax:601-442-4785
Practice Address - Street 1:136 JEFFERSON DAVIS BLVD STE B
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-5104
Practice Address - Country:US
Practice Address - Phone:601-442-3701
Practice Address - Fax:601-442-4785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09011323Medicaid
MSC00241Medicare ID - Type Unspecified