# OLD CAPITAL WOMEN'S HEALTH

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

## Provider details

- **NPI number:** 1518035922
- **Authorized official:** DR. DOUGLAS GROVER HARRISON M.D. (OWNER)
- **Authorized official phone:** (706) 749-0513

## Contact information

- **Practice address:** 530 WEST THOMAS STREET, MILLEDGEVILLE, GA 31061
- **Practice address phone:** (706) 749-0513
- **Mailing address:** 1685 PINE VALLEY RD, MILLEDGEVILLE, GA 31061-2456
- **Mailing address phone:** (706) 749-0513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 053918 | GA | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020