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SOUTH GEORGIA PHYSICIANS GROUP LLC NPI 1316501372


NPI Information

NPI: 1316501372
Provider Name: SOUTH GEORGIA PHYSICIANS GROUP, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1406 HABERSHAM DR
WAYCROSS, GA
ZIP 31501
Phone: (912) 287-1130
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SOUTH GEORGIA PHYSICIANS GROUP, LLC is an obstetrics gynecology in Waycross, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTH GEORGIA PHYSICIANS GROUP, LLC NPI is 1316501372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1406 HABERSHAM DR
WAYCROSS, GA
ZIP 31501-306
Phone: (912) 287-1130
Fax: (912) 287-9114

The provider's authorized official is Cheryl Crawford Dubose .
The authorized official title is Cfo and has the following contact phone number (912) 632-8961.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 1/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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