Fitzgerald Ob/gyn

NPI #1245410307 in Fitzgerald, Georgia

Provider Information

NPI Number: 1245410307
Entity Type: Organization
Organization Name: Fitzgerald Ob/gyn
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 6, 2007
Last Updated: Jul 15, 2008

Practice Location

Address: 808 S GRANT ST
City: Fitzgerald
State: Georgia
ZIP Code: 31750-3703
Phone: (229) 426-7685

Authorized Official

Name: MRS. TONYA LEANNE PARHAM
Title: OFFICE MANAGER
Phone: (229) 424-7685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Obstetrics & Gynecology	207V00000X	Primary

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