West Georgia Medical Center, Inc.

NPI #1356664247 in Lagrange, Georgia

Provider Information

NPI Number
1356664247
Entity Type
Organization
Organization Name
West Georgia Medical Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WEST GEORGIA MEDICAL CENTER, INC.
Primary Specialty
Dietitian, Registered
Enumeration Date
Mar 5, 2010
Last Updated
Oct 8, 2014

Practice Location

Address
1514 VERNON RD
State
Georgia
ZIP Code
30240-4131
Phone
(706) 882-1411

Authorized Official

Name
MR. GERALD N. FULKS
Title
PRESIDENT/CEO
Phone
(706) 845-3702

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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