PROVIDENCE OBGYN LLC

DUBLIN, GA
NPI1124750369
Entity TypeOrganization
Authorized ContactLAURI BULLEN
Sole Partner
843-614-9917
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
Enumeration Date2022-06-27
Last Update Date2022-08-03
Business Address
PROVIDENCE OBGYN LLC
104 FAIRVIEW PARK DR STE 300
DUBLIN, GA 31021-2567
Phone number: 478-246-4304
Mailing Address
PROVIDENCE OBGYN LLC
104 FAIRVIEW PARK DR STE 300
DUBLIN, GA 31021-2567
Phone number: 478-246-4304
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