Organization
MIDDLE GEORGIA WOMEN'S SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEE LOYD (OFFICE MANAGER)
(478) 274-1040
Entity
Organization
Contact information
Practice address
105 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 274-1040
(478) 274-0075
Mailing address
105 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 274-1040
(478) 274-0075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788026B
—
GA
05
—
000840287A
—
GA
Enumeration date
03/22/2007
Last updated
06/04/2014
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