# FITZGERALD OB/GYN

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

## Provider details

- **NPI number:** 1245410307
- **Authorized official:** MRS. TONYA LEANNE PARHAM (OFFICE MANAGER)
- **Authorized official phone:** (229) 424-7685

## Contact information

- **Practice address:** 808 S GRANT ST, FITZGERALD, GA 31750-3703
- **Practice address phone:** (229) 426-7685
- **Mailing address:** PO BOX 1027, FITZGERALD, GA 31750-1027
- **Mailing address phone:** (229) 426-7685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 046468 | GA | Yes |
| 363L00000X | Nurse Practitioner | RN101986 NP | GA | — |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 07/15/2008