| West Georgia Family Practice P.c | |
|
301 Medical Dr Suite 503 Lagrange GA 30240-4144 | |
| (678) 867-7630 | |
| Not Available |
| Full Name | West Georgia Family Practice P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Medical Dr, Lagrange, Georgia |
| Authorized Official Name and Position | Srinivas Rao Bramhadevi (OWNER) |
| Authorized Official Contact | 6788677630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Georgia Family Practice P.c 301 Medical Dr Suite 503 Lagrange GA 30240-4144 Ph: (706) 882-2447 | West Georgia Family Practice P.c 301 Medical Dr Suite 503 Lagrange GA 30240-4144 Ph: (678) 867-7630 |
| NPI Number | 1669607891 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669607891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 061946 (Georgia) | Primary |
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