| J Michael West Md Pc | |
|
740 Prince Ave Ste 1b Athens GA 30606 | |
| (706) 548-0008 | |
| (706) 369-9673 |
| Full Name | J Michael West Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 740 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | Judy M Lindquist (OFFICE MANAGER) |
| Authorized Official Contact | 7065480008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Michael West Md Pc 740 Prince Ave Ste 1b Athens GA 30606 Ph: (706) 548-0008 | J Michael West Md Pc 740 Prince Ave Ste 1b Athens GA 30606 Ph: (706) 548-0008 |
| NPI Number | 1467405712 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467405712 | NPI | - | NPPES |
| 00181112A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 020621 (Georgia) | Primary |
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