# EAST GEORGIA WOMENS CENTER

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

## Provider details

- **NPI number:** 1801007695
- **Authorized official:** GINGER DELOACH (INSURANCE & BILLING)
- **Authorized official phone:** (912) 871-4800

## Contact information

- **Practice address:** 1012 BERMUDA RUN, STATESBORO, GA 30458-0858
- **Practice address phone:** (912) 871-4800
- **Practice address fax:** (912) 871-4900
- **Mailing address:** PO BOX 428, STATESBORO, GA 30459-0428
- **Mailing address phone:** (912) 871-4800
- **Mailing address fax:** (912) 871-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 03658 | GA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 07/25/2007