Organization
SOUTHEASTERN OB-GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M BATTEN (OFFICE MANAGER)
(912) 264-9118
Entity
Organization
Contact information
Practice address
2801 PARKWOOD DR, BRUNSWICK, GA 31520-4730
(912) 264-9118
(912) 264-1904
Mailing address
2801 PARKWOOD DR, BRUNSWICK, GA 31520-4730
(912) 264-9118
(912) 264-1904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038105
GA
174400000X
Specialist
051407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00691996-C
—
GA
Enumeration date
05/24/2007
Last updated
08/22/2020
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