# WEST GEORGIA OBSTETRICS & GYNECOLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114075694
- **Authorized official:** MS. DENISE M. MURRAH (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (770) 834-0170

## Contact information

- **Practice address:** 109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
- **Practice address phone:** (770) 834-0170
- **Practice address fax:** (770) 214-1456
- **Mailing address:** 109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
- **Mailing address phone:** (770) 834-0170
- **Mailing address fax:** (770) 214-1456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020