Provider Demographics
NPI:1285620062
Name:MORROW, GREGORY K (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:K
Last Name:MORROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 JENKS AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2474
Mailing Address - Country:US
Mailing Address - Phone:850-785-0515
Mailing Address - Fax:850-818-0729
Practice Address - Street 1:1007 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2474
Practice Address - Country:US
Practice Address - Phone:850-785-0515
Practice Address - Fax:850-818-0729
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS11605207V00000X
FLME65397207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374941000Medicaid
FLF87715Medicare UPIN
FL25582ZMedicare ID - Type Unspecified