# MIDDLE GEORGIA WOMEN'S SPECIALISTS, INC.

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

## Provider details

- **NPI number:** 1649397175
- **Authorized official:** AMY LEE LOYD (OFFICE MANAGER)
- **Authorized official phone:** (478) 274-1040

## Contact information

- **Practice address:** 105 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
- **Practice address phone:** (478) 274-1040
- **Practice address fax:** (478) 274-0075
- **Mailing address:** 105 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
- **Mailing address phone:** (478) 274-1040
- **Mailing address fax:** (478) 274-0075

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 06/04/2014