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MILLEDGEVILLE OBGYN ASSOCIATES P.C. NPI 1265593917


NPI Information

NPI: 1265593917
Provider Name: MILLEDGEVILLE OBGYN ASSOCIATES, P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D2001344

Address:
750 N COBB ST
SUITE 240
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 453-8511
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MILLEDGEVILLE OBGYN ASSOCIATES, P.C. is an obstetrics gynecology in Milledgeville, 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. MILLEDGEVILLE OBGYN ASSOCIATES, P.C. NPI is 1265593917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 N COBB ST
SUITE 240
MILLEDGEVILLE, GA
ZIP 31061-390
Phone: (478) 453-8511
Fax: (478) 452-5458

The provider's authorized official is Samuel M. Goodrich .
The authorized official title is President and has the following contact phone number (478) 453-8511.

The CLIA number assigned to this NPI record is 11D2001344 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & 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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