West Georgia Multi Specialty Clinic, PC

NPI #1487854345 in Lagrange, Georgia

Provider Information

NPI Number: 1487854345
Entity Type: Organization
Organization Name: West Georgia Multi Specialty Clinic, PC
Primary Specialty: Surgery
Enumeration Date: Jul 19, 2007
Last Updated: May 15, 2012

Practice Location

Address: 106 LUKKEN INDUSTRIAL DR W
City: Lagrange
State: Georgia
ZIP Code: 30240-5912
Phone: (706) 882-8128

Authorized Official

Name: MRS. LOIS L COPELAND
Title: BILLING CLERK
Phone: (706) 845-0931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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