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 Date2025-11-17
Business Address
PROVIDENCE OBGYN LLC
206 FAIRVIEW PARK DR
DUBLIN, GA 31021-2547
Phone number: 478-246-4304
Mailing Address
PROVIDENCE OBGYN LLC
206 FAIRVIEW PARK DR
DUBLIN, GA 31021-2547
Phone number: 478-246-4304