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Organization
WEST GA FAMILY MEDICINE, PC
Active
Organization
WEST GA FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY NEWTON LANGFORD D.O. (PRESIDENT)
(770) 222-5488
Entity
Organization
Contact information
Practice address
1899 LAKE RD, 212, HIRAM, GA 30141-2291
(770) 222-5488
(770) 222-5491
Mailing address
1899 LAKE RD, 212, HIRAM, GA 30141-2291
(770) 222-5488
(770) 222-5491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045867
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000816923C
—
GA
Enumeration date
06/09/2008
Last updated
09/17/2008
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