West Ga Family Medicine, Pc

NPI 1093974578 - Family Medicine - 207Q00000X

NPI Details
NPI 1093974578
Enumeration Date 06/09/2008
Last Updated 09/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TERRY NEWTON TERRY
Position PRESIDENT
Phone (770) 222-5488
Fax (770) 222-5491
Practice Location
1899 LAKE RD
212
HIRAM GA, 30141-2291, US
Phone (770) 222-5488
Fax (770) 222-5491
Business Location
1899 LAKE RD
212
HIRAM GA, 30141-2291, US
Phone (770) 222-5488
Fax (770) 222-5491
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 045867
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According to our database, West Ga Family Medicine, Pc NPI is 1093974578, taxonomy code is 207Q00000X and license number is 045867, license state is located at Georgia. West Ga Family Medicine, Pc physically located at 1899 Lake Rd, Hiram GA, 30141-2291. NPI Number 1033115704 has the healthcare provider type.

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1093974578 NPI number is provided on an as is basis without warranty of any kind. 1093974578 is maintained by the National Plan & Provider Enumeration System. The contents of West Ga Family Medicine, Pc are for informational purposes only.