The OB/GYN Specialists of West Georgia

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

050839 Issued in GA

Legal business name

THE OB/GYN SPECIALISTS OF WEST GEORGIA

Practice address

311 S Lewis St
Lagrange, GA 30240-3143

Phone

(706) 882-9940

Fax

(706) 882-9968

NPI assigned

Jul 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George E Stefenelli, D.O.

Title

President

Phone

(706) 882-9940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1992960256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403143",
            "telephone_number": "706-882-9940",
            "fax_number": "706-882-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403143",
            "telephone_number": "706-882-9940",
            "fax_number": "706-882-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OB/GYN SPECIALISTS OF WEST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "STEFENELLI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-882-9940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "050839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924602C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.