| West Georgia Medical Group-lagrange | |
|
142 Old Mill Rd Lagrange GA 30241-6704 | |
| (706) 882-7440 | |
| (706) 882-1350 |
| Full Name | West Georgia Medical Group-lagrange |
|---|---|
| Speciality | Internal Medicine |
| Location | 142 Old Mill Rd, Lagrange, Georgia |
| Authorized Official Name and Position | Andre Diosdado Feria (PRESIDENT) |
| Authorized Official Contact | 7068827440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Georgia Medical Group-lagrange 142 Old Mill Rd Lagrange GA 30241-6704 Ph: (706) 882-7440 | West Georgia Medical Group-lagrange 142 Old Mill Rd Lagrange GA 30241-6704 Ph: (706) 882-7440 |
| NPI Number | 1831422484 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831422484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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