Organization
CAMDEN OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA TAKACS DI LORENZO MD (MEDICAL DOCTOR OWNER)
(912) 673-1771
Entity
Organization
Contact information
Practice address
202 LAKESHORE DR, STE A, SAINT MARYS, GA 31558-3809
(912) 673-1771
(912) 673-1811
Mailing address
202 LAKESHORE DR, STE A, SAINT MARYS, GA 31558-3809
(912) 673-1771
(912) 673-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
10/10/2011
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