| Ch Ga Western Georgia Llc | |
|
4055 Valley View Ln Suite 400 Dallas TX 75244-5074 | |
| (972) 715-3800 | |
| (888) 722-4282 |
| Full Name | Ch Ga Western Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4055 Valley View Ln, Dallas, Texas |
| Authorized Official Name and Position | Melissa M Cooke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9727153808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Ga Western Georgia Llc 4055 Valley View Ln Suite 400 Dallas TX 75244-5074 Ph: (972) 715-3800 | Ch Ga Western Georgia Llc 4055 Valley View Ln Suite 400 Dallas TX 75244-5074 Ph: (972) 715-3800 |
| NPI Number | 1710387147 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710387147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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