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Organization
PRIMARY CARE GROUP OF WEST GEORGIA
Active
Organization
PRIMARY CARE GROUP OF WEST GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY P SMITH (PRACTICE ADMINISTRATOR)
(770) 838-1570
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
(770) 838-1722
Mailing address
100 PROFESSIONAL PL STE 204, CARROLLTON, GA 30117-3802
(770) 834-3351
(770) 838-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
11/02/2005
Last updated
06/16/2026
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