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West Georgia Family Practice P.c

NPI #1669607891 in Lagrange, Georgia

Provider Information

NPI Number
1669607891
Entity Type
Organization
Organization Name
West Georgia Family Practice P.c
Primary Specialty
Family Medicine
Enumeration Date
May 18, 2009
Last Updated
Nov 16, 2009

Practice Location

Address
301 MEDICAL DR
Address 2
SUITE 503
City
Lagrange
State
Georgia
ZIP Code
30240-4144
Phone
(678) 867-7630

Authorized Official

Name
SRINIVAS RAO BRAMHADEVI, M.D
Title
OWNER
Phone
(678) 867-7630

Specialties & Taxonomy Codes

Specialty
Family Medicine

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