West Georgia Medical Group-Lagrange

NPI #1831422484 in Lagrange, Georgia

Provider Information

NPI Number: 1831422484
Entity Type: Organization
Organization Name: West Georgia Medical Group-Lagrange
Primary Specialty: Internal Medicine
Enumeration Date: Sep 15, 2009
Last Updated: Sep 15, 2009

Practice Location

Address: 142 OLD MILL RD
City: Lagrange
State: Georgia
ZIP Code: 30241-6704
Phone: (706) 882-7440

Authorized Official

Name: DR. ANDRE DIOSDADO FERIA, M.D.
Title: PRESIDENT
Phone: (706) 882-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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