Organization · NPI-2

West Georgia Health Physicians INC

Surgery · Lagrange, GA

NPI number1164711792

StatusActive

Last updated in NPPESAug 26, 2013

Details

NPI: 1164711792
Entity type: Organization (NPI-2)
Legal business name: West Georgia Health Physicians INC
Organization subpart: No
Enumeration date: Apr 5, 2011
Last updated: Aug 26, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	–	–	Yes
207Q00000X	Family Medicine	–	–
208800000X	Urology	–	–
207RI0011X	Internal Medicine, Interventional Cardiology	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207R00000X	Internal Medicine	–	–
208M00000X	Hospitalist	–	–
207VG0400X	Obstetrics & Gynecology, Gynecology	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207Y00000X	Otolaryngology	–	–

Practice location

1514 Vernon Rd
Lagrange, GA 30240-4131

Phone 706-882-1411

Mailing address

Po Box 1483
Columbus, GA 31902-1483

Phone 706-882-1411

Authorized official

Gerald N Fulks
Director
7068821411

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