Organization
MIDDLE GEORGIA OB/GYN,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA A SHIRLEY DO (OWNER)
(478) 333-6901
Entity
Organization
Contact information
Practice address
109 OSIGIAN BLVD, SUITE 400, WARNER ROBINS, GA 31088-8925
(478) 333-6901
(478) 333-6907
Mailing address
P O BOX 8168, WARNER ROBINS, GA 31095-8168
(478) 333-6901
(478) 333-6907
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
050921
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000960924B
—
GA
Enumeration date
08/11/2006
Last updated
12/17/2012
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