West Georgia Health Physicians INC

NPI #1174993364 in Lagrange, Georgia

Provider Information

NPI Number: 1174993364
Entity Type: Organization
Organization Name: West Georgia Health Physicians INC
Primary Specialty: General Practice
Enumeration Date: Sep 30, 2015
Last Updated: Sep 30, 2015

Practice Location

Address: 100 GLENN BASS RD
City: Lagrange
State: Georgia
ZIP Code: 30240-5809
Phone: (706) 845-3075

Authorized Official

Name: ROBERT CARLSON, MPA
Title: DIRECTOR
Phone: (706) 845-3075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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