# MIDDLE GEORGIA OB/GYN,PC

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

## Provider details

- **NPI number:** 1669483889
- **Authorized official:** VICTORIA A SHIRLEY DO (OWNER)
- **Authorized official phone:** (478) 333-6901

## Contact information

- **Practice address:** 109 OSIGIAN BLVD, SUITE 400, WARNER ROBINS, GA 31088-8925
- **Practice address phone:** (478) 333-6901
- **Practice address fax:** (478) 333-6907
- **Mailing address:** P O BOX 8168, WARNER ROBINS, GA 31095-8168
- **Mailing address phone:** (478) 333-6901
- **Mailing address fax:** (478) 333-6907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 050921 | GA | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 12/17/2012