# SOUTHSIDE OB/GYN, P.C.

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

## Provider details

- **NPI number:** 1407024557
- **Authorized official:** FRANCISCO A. DUENO M.D. (PRESIDENT)
- **Authorized official phone:** (912) 656-3533

## Contact information

- **Practice address:** 9390 FORD AVE, SUITE 4, RICHMOND HILL, GA 31324-6421
- **Practice address phone:** (912) 756-3404
- **Practice address fax:** (912) 756-6352
- **Mailing address:** PO BOX 1117, RICHMOND HILL, GA 31324-1117
- **Mailing address phone:** (912) 756-3404
- **Mailing address fax:** (912) 756-2156

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 03/22/2017