Organization
MT AIRY OB GYN CENTER, INC
Active
Other names
MT AIRY OB GYN CENTER, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D GITT MD (PRESIDENT)
(336) 786-4522
Entity
Organization
Contact information
Practice address
510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
(336) 786-4522
(336) 789-3025
Mailing address
510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
(336) 786-4522
(336) 789-3025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200001210578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02242
NC BLUE CROSS BLUE SHIELD
NC
01
—
0361
MEDICARE GROUP NUMBER
NC
05
—
8902242
—
NC
Enumeration date
01/12/2006
Last updated
07/14/2010
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