Organization
ADVANCED OB GYN CARE OF WARNER ROBINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN WELLS MD (OWNER/PHYSICIAN)
(478) 923-6462
Entity
Organization
Contact information
Practice address
1570 WATSON BLVD, SUITE 110, WARNER ROBINS, GA 31093-3432
(478) 923-6462
(478) 225-1271
Mailing address
1570 WATSON BLVD, SUITE 110, WARNER ROBINS, GA 31093-3432
(478) 923-6462
(478) 225-1271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299296634F
—
GA
Enumeration date
04/03/2013
Last updated
04/03/2013
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