Organization
OLD CAPITAL WOMEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GROVER HARRISON M.D. (OWNER)
(706) 749-0513
Entity
Organization
Contact information
Practice address
530 WEST THOMAS STREET, MILLEDGEVILLE, GA 31061
(706) 749-0513
Mailing address
1685 PINE VALLEY RD, MILLEDGEVILLE, GA 31061-2456
(706) 749-0513
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
053918
GA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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