OGEECHEE OB-GYN P.C. NPI 1053380592

NPI Information

  • NPI: 1053380592
  • Provider Name: OGEECHEE OB-GYN, P.C.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1497 FAIR RD
    SUITE 300
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 871-6206

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NPI Details

OGEECHEE OB-GYN, P.C. is an obstetrics gynecology in Statesboro, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OGEECHEE OB-GYN, P.C. NPI is 1053380592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1497 FAIR RD
SUITE 300
STATESBORO, GA
ZIP 30458-822
Phone: (912) 871-6206
Fax: (912) 681-8558

The provider's authorized official is Tonya Kay Clark .
The authorized official title is Office Manager and has the following contact phone number (912) 871-6206.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology056210GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1056210OTHERGEORGIALICENSE
21053380592OTHERGEORGIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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