Organization
CENTRAL GEORGIA GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY JACKSON DAVIS MD (PRESIDENT)
(478) 960-7747
Entity
Organization
Contact information
Practice address
770 PINE STREET, SUITTE 580, MACON, GA 31201-7532
(478) 960-7747
(478) 746-0022
Mailing address
P.O. BOX 27690, MACON, GA 31221-7690
(478) 960-7747
(478) 746-0022
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
GA
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
06/05/2008
Last updated
09/13/2022
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