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Organization
LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY
Active
Organization
LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY
Active
Other names
West Georgia Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD FULKS (CEO)
(706) 882-1411
Entity
Organization
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3862
(706) 845-3700
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3862
(706) 845-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1092
GA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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