Primary Care Group of West Georgia

NPI #1386635852 in Carrollton, Georgia

Provider Information

NPI Number: 1386635852
Entity Type: Organization
Organization Name: Primary Care Group of West Georgia
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2005
Last Updated: Apr 4, 2008

Practice Location

Address: 100 PROFESSIONAL PL
Address 2: SUITE 204
City: Carrollton
State: Georgia
ZIP Code: 30117-3874
Phone: (770) 834-3351

Authorized Official

Name: MRS. TREBBA PUTNAM
Title: ADMINISTRATOR
Phone: (770) 834-3351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Family Medicine	207Q00000X	Primary

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