Provider Demographics
NPI:1558998070
Name:WILFREDO A. NEGRON, MD, LLC
Entity Type:Organization
Organization Name:WILFREDO A. NEGRON, MD, LLC
Other - Org Name:GYNECOLOGY ASSOCIATES OF GEORGIA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-467-9916
Mailing Address - Street 1:5354 REYNOLDS ST STE 304
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6010
Mailing Address - Country:US
Mailing Address - Phone:912-355-7303
Mailing Address - Fax:
Practice Address - Street 1:5354 REYNOLDS ST STE 304
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6010
Practice Address - Country:US
Practice Address - Phone:912-355-7303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty