Provider Demographics
NPI:1093847329
Name:THOMASTON OBSTETRICAL & GYNECOLOGICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:THOMASTON OBSTETRICAL & GYNECOLOGICAL ASSOCIATES, P.C.
Other - Org Name:THOMASTON OB-GYN ASSOCIATES, P. C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-647-9759
Mailing Address - Street 1:214 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3402
Mailing Address - Country:US
Mailing Address - Phone:706-647-9759
Mailing Address - Fax:706-647-9651
Practice Address - Street 1:214 CHEROKEE RD
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3402
Practice Address - Country:US
Practice Address - Phone:706-647-9759
Practice Address - Fax:706-647-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP 516Medicare ID - Type Unspecified