Organization
THE OB/GYN SPECIALISTS OF WEST GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE E STEFENELLI D.O. (PRESIDENT)
(706) 882-9940
Entity
Organization
Contact information
Practice address
311 S LEWIS ST, LAGRANGE, GA 30240-3143
(706) 882-9940
(706) 882-9968
Mailing address
311 S LEWIS ST, LAGRANGE, GA 30240-3143
(706) 882-9940
(706) 882-9968
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
050839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000924602C
—
GA
Enumeration date
07/25/2008
Last updated
07/25/2008
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