PROVIDENCE OBGYN LLC is an obstetrics gynecology in Dublin, 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. PROVIDENCE OBGYN LLC NPI is 1124750369. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
104 FAIRVIEW PARK DR STE 300
DUBLIN, GA
ZIP 31021-567
Phone: (478) 246-4304
Fax: (478) 246-4282
The provider's authorized official is Lauri Bullen .
The authorized official title is Sole Partner and has the following contact phone number (843) 614-9917.
The CLIA number assigned to this NPI record is 11D2266575 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/27/2022 and was last updated on 8/3/2022.