# PRIMARY CARE GROUP OF WEST GEORGIA

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

## Provider details

- **NPI number:** 1386635852
- **Authorized official:** RODNEY P SMITH (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 838-1570

## Contact information

- **Practice address:** 100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117-3874
- **Practice address phone:** (770) 834-3351
- **Practice address fax:** (770) 838-1722
- **Mailing address:** 100 PROFESSIONAL PL STE 204, CARROLLTON, GA 30117-3802
- **Mailing address phone:** (770) 834-3351
- **Mailing address fax:** (770) 838-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 06/16/2026