# MT AIRY OB GYN CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MT AIRY OB GYN CENTER, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629057294
- **Authorized official:** DR. KENNETH D GITT MD (PRESIDENT)
- **Authorized official phone:** (336) 786-4522

## Contact information

- **Practice address:** 510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
- **Practice address phone:** (336) 786-4522
- **Practice address fax:** (336) 789-3025
- **Mailing address:** 510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
- **Mailing address phone:** (336) 786-4522
- **Mailing address fax:** (336) 789-3025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 200001210578 | NC | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 07/14/2010