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Organization
SOUTHWEST GEORGIA OB-GYN, PC
Active
Organization
SOUTHWEST GEORGIA OB-GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PAUL PAYNE MD (OWNER/PRESIDENT)
(229) 434-7640
Entity
Organization
Contact information
Practice address
808 13TH AVE, ALBANY, GA 31701-1328
(229) 434-7640
(229) 434-7647
Mailing address
808 13TH AVE, ALBANY, GA 31701-1328
(229) 434-7640
(229) 434-7647
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63938
GA
Other
Enumeration date
07/03/2012
Last updated
08/13/2015
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