# LILY OBSTETRICS AND GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1962799486
- **Authorized official:** MRS. TINA F MITCHELL MD (OWNER/PRESIDENT)
- **Authorized official phone:** (912) 638-1801

## Contact information

- **Practice address:** 7000 WELLNESS WAY, SUITE 7220, ST SIMONS ISLAND, GA 31522-2286
- **Practice address phone:** (912) 638-1801
- **Practice address fax:** (912) 638-1821
- **Mailing address:** 7000 WELLNESS WAY, SUITE 7220, ST SIMONS ISLAND, GA 31522-2286
- **Mailing address phone:** (912) 638-1801
- **Mailing address fax:** (912) 638-1821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 050041 | GA | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 04/09/2012