| NPI | 1326233230 |
|---|---|
| Doing Business As | UNIVERSITY OB/GYN |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2011-08-26 |