Provider Type Icon

MOBILE MD LLC NPI 1073074175


NPI Information

NPI: 1073074175
Provider Name: MOBILE MD, LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
746 ROYAL SPRINGS LN
GROVETOWN, GA
ZIP 30813
Phone: (706) 589-1990
Get Directions

MOBILE MD, LLC is a gynecology obstetrics gynecology in Grovetown, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MOBILE MD, LLC NPI is 1073074175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

746 ROYAL SPRINGS LN
GROVETOWN, GA
ZIP 30813-534
Phone: (706) 589-1990

The provider's authorized official is Kim Martin .
The authorized official title is Manager and has the following contact phone number (706) 863-0200.

The enumeration date for this NPI number is 3/29/2019 and was last updated on 11/27/2023.


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
1207VG0400XObstetrics & GynecologyGynecologyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.