# SOUTHWEST GEORGIA OB-GYN, PC

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

## Provider details

- **NPI number:** 1871857011
- **Authorized official:** DR. JONATHAN PAUL PAYNE MD (OWNER/PRESIDENT)
- **Authorized official phone:** (229) 434-7640

## Contact information

- **Practice address:** 808 13TH AVE, ALBANY, GA 31701-1328
- **Practice address phone:** (229) 434-7640
- **Practice address fax:** (229) 434-7647
- **Mailing address:** 808 13TH AVE, ALBANY, GA 31701-1328
- **Mailing address phone:** (229) 434-7640
- **Mailing address fax:** (229) 434-7647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 63938 | GA | Yes |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 08/13/2015
