West Georgia Medical Center, Inc.

NPI #1194958421 in Lagrange, Georgia

Provider Information

NPI Number: 1194958421
Entity Type: Organization
Organization Name: West Georgia Medical Center, Inc.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Sep 3, 2009
Last Updated: Feb 24, 2020

Practice Location

Address: 140 GLENN BASS RD
City: Lagrange
State: Georgia
ZIP Code: 30240-5809
Phone: (706) 845-3282

Authorized Official

Name: MR. ANTHONY J BUDZINSKI
Title: EVP
Phone: (470) 644-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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