Provider Demographics
NPI:1083938617
Name:OB/GYN ASSOCIATES OF MAGEE, P.C.
Entity Type:Organization
Organization Name:OB/GYN ASSOCIATES OF MAGEE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-849-7339
Mailing Address - Street 1:360 SIMPSON HWY 149
Mailing Address - Street 2:STE 220
Mailing Address - City:MAGEE
Mailing Address - State:MS
Mailing Address - Zip Code:39111
Mailing Address - Country:US
Mailing Address - Phone:601-849-1465
Mailing Address - Fax:601-849-1466
Practice Address - Street 1:360 SIMPSON HWY 149
Practice Address - Street 2:STE 220
Practice Address - City:MAGEE
Practice Address - State:MS
Practice Address - Zip Code:39111-3665
Practice Address - Country:US
Practice Address - Phone:601-849-1465
Practice Address - Fax:601-849-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty