# CENTRAL ALBANY OB-GYN, P.C.

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

## Provider details

- **NPI number:** 1235489485
- **Authorized official:** MOON Y CHUNG M.D. (SHAREHOLDER PHYSICIAN)
- **Authorized official phone:** (229) 435-0002

## Contact information

- **Practice address:** 421 W 4TH AVE, ALBANY, GA 31701-1973
- **Practice address phone:** (229) 435-0002
- **Practice address fax:** (229) 883-1782
- **Mailing address:** 421 W 4TH AVE, ALBANY, GA 31701-1973
- **Mailing address phone:** (229) 435-0002
- **Mailing address fax:** (229) 883-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 058965 | GA | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012