Primary Care Group Of West Georgia

NPI 1386635852 - Internal Medicine - 207RP1001X

NPI Details
NPI 1386635852
Enumeration Date 11/02/2005
Last Updated 04/04/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TREBBA TREBBA
Position ADMINISTRATOR
Phone (770) 834-3351
Fax (770) 838-1722
Practice Location
100 PROFESSIONAL PL
SUITE 204
CARROLLTON GA, 30117-3874, US
Phone (770) 834-3351
Fax (770) 838-1722
Business Location
100 PROFESSIONAL PL
SUITE 204
CARROLLTON GA, 30117-3874, US
Phone (770) 834-3351
Fax (770) 838-1722
Toxanomy
Taxonomy Code 207RP1001X
License State
License Number
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According to our database, Primary Care Group Of West Georgia NPI is 1386635852, taxonomy code is 207RP1001X Primary Care Group Of West Georgia physically located at 100 Professional Pl, Carrollton GA, 30117-3874. NPI Number 1033115704 has the healthcare provider type.

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1386635852 NPI number is provided on an as is basis without warranty of any kind. 1386635852 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care Group Of West Georgia are for informational purposes only.