Basic Information
Provider Information
NPI: 1598779050
EntityType: 2
ReplacementNPI:  
OrganizationName: OB - GYN ASSOCIATES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 22637
Address2:  
City: SAVANNAH
State: GA
PostalCode: 314032637
CountryCode: US
TelephoneNumber: 9123554408
FaxNumber: 9123555643
Practice Location
Address1: 5353 REYNOLDS ST
Address2: SUITE 300
City: SAVANNAH
State: GA
PostalCode: 314056015
CountryCode: US
TelephoneNumber: 9123554408
FaxNumber: 9123555643
Other Information
ProviderEnumerationDate: 07/28/2006
LastUpdateDate: 06/23/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: COBBS
AuthorizedOfficialFirstName: MELISSA
AuthorizedOfficialMiddleName: L.
AuthorizedOfficialTitleorPosition: PARTNER
AuthorizedOfficialTelephone: 9123559738
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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