# GRIFFIN OB/GYN CLINIC II, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033631809
- **Authorized official:** MRS. SHELLEY DEPP (PAYER RELATIONS LIAISON)
- **Authorized official phone:** (770) 579-2626

## Contact information

- **Practice address:** 503 S 8TH ST, GRIFFIN, GA 30224-4211
- **Practice address phone:** (770) 467-0614
- **Practice address fax:** (770) 412-7881
- **Mailing address:** PO BOX 468329, ATLANTA, GA 31146-8329
- **Mailing address phone:** (404) 943-0205
- **Mailing address fax:** (404) 943-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 07/12/2017