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SYLACAUGA OBSTETRICS AND GYNECOLOGY PC NPI 1639372907


NPI Information

NPI: 1639372907
Provider Name: SYLACAUGA OBSTETRICS AND GYNECOLOGY, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 01D0973223

Address:
315 W FORT WILLIAMS ST STE 100
SYLACAUGA, AL
ZIP 35150
Phone: (256) 249-6995
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SYLACAUGA OBSTETRICS AND GYNECOLOGY, PC is an obstetrics gynecology in Sylacauga, AL. 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. SYLACAUGA OBSTETRICS AND GYNECOLOGY, PC NPI is 1639372907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 W FORT WILLIAMS ST STE 100
SYLACAUGA, AL
ZIP 35150-433
Phone: (256) 249-6995
Fax: (256) 245-6992

The provider's authorized official is Jonathan Francis Rehberg .
The authorized official title is President and has the following contact phone number (256) 249-6995.

The CLIA number assigned to this NPI record is 01D0973223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 3/17/2018.


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
1207V00000XObstetrics & Gynecology28010ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529932834MEDICAIDALABAMA

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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