| Dr. Milton Gary Waldrop | |
|
116 Lawrence Dr Suite 1 Columbus MS 39702-5319 | |
| (662) 328-9123 | |
| (662) 328-9152 |
| Full Name | Dr. Milton Gary Waldrop |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 Lawrence Dr, Columbus, Mississippi |
| Authorized Official Name and Position | Kris Burnside Jourdan (OFFICE MANAGER) |
| Authorized Official Contact | 6623289123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Milton Gary Waldrop 116 Lawrence Dr Suite 1 Columbus MS 39702-5319 Ph: (662) 328-9123 | Dr. Milton Gary Waldrop 116 Lawrence Dr Suite 1 Columbus MS 39702-5319 Ph: (662) 328-9123 |
| NPI Number | 1740482306 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740482306 | NPI | - | NPPES |
| 425669694 | Other | MS | SS# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1024-61 (Mississippi) | Primary |
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