Healthcare Provider Details

I. General information

NPI: 1841268521
Provider Name (Legal Business Name): GREGORY SZYCH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W FOREST AVE STE 300
JACKSON TN
38301-3937
US

IV. Provider business mailing address

1904 GRANT AVE STE G
JONESBORO AR
72401-6165
US

V. Phone/Fax

Practice location:
  • Phone: 731-422-0305
  • Fax: 731-422-0357
Mailing address:
  • Phone: 731-425-5752
  • Fax: 731-422-5743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number21337
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036151389
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDO1484
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number95095
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number04449
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0102204735
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR.0043812
License Number StateCO
# 8
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberE8994
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: