Organization · Type 2 NPI

Providence Obgyn LLC

Obstetrics & Gynecology Physician · Dublin, GA

NPI number 1124750369 Active

Practice location

206 Fairview Park Dr
Dublin, GA 31021-2547

Fax (478) 246-4282

Other practice locations

  • 227 Industrial Blvd, Dublin, GA 31021-2969 · (478) 246-4304

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: 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.

5 other providers at this address

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About NPI 1124750369

Providence Obgyn LLC's National Provider Identifier is 1124750369, issued on Jun 27, 2022. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Dublin, GA. The record was last updated on Nov 17, 2025.