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CENTRAL GEORGIA GYNECOLOGY LLC NPI 1407015365


NPI Information

NPI: 1407015365
Provider Name: CENTRAL GEORGIA GYNECOLOGY LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
770 PINE STREET
SUITTE 580
MACON, GA
ZIP 31201
Phone: (478) 960-7747
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CENTRAL GEORGIA GYNECOLOGY LLC is a gynecology obstetrics gynecology in Macon, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee CENTRAL GEORGIA GYNECOLOGY LLC NPI is 1407015365. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

770 PINE STREET
SUITTE 580
MACON, GA
ZIP 31201-532
Phone: (478) 960-7747
Fax: (478) 746-0022

The provider's authorized official is Henry Jackson Davis .
The authorized official title is President and has the following contact phone number (478) 960-7747.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 9/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsNo
2207V00000XObstetrics & GynecologyGEORGIANo
3207VG0400XObstetrics & GynecologyGynecologyYes

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: 4/28/2024

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