# CAMDEN OBGYN

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

## Provider details

- **NPI number:** 1760605471
- **Authorized official:** EVA TAKACS DI LORENZO MD (MEDICAL DOCTOR OWNER)
- **Authorized official phone:** (912) 673-1771

## Contact information

- **Practice address:** 202 LAKESHORE DR, STE A, SAINT MARYS, GA 31558-3809
- **Practice address phone:** (912) 673-1771
- **Practice address fax:** (912) 673-1811
- **Mailing address:** 202 LAKESHORE DR, STE A, SAINT MARYS, GA 31558-3809
- **Mailing address phone:** (912) 673-1771
- **Mailing address fax:** (912) 673-1811

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 10/10/2011