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Organization
WEST GEORGIA FAMILY PRACTICE P.C
Active
Organization
WEST GEORGIA FAMILY PRACTICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS RAO BRAMHADEVI M.D (OWNER)
(678) 867-7630
Entity
Organization
Contact information
Practice address
301 MEDICAL DR, SUITE 503, LAGRANGE, GA 30240-4144
(678) 867-7630
Mailing address
301 MEDICAL DR, SUITE 503, LAGRANGE, GA 30240-4144
(706) 882-2447
(706) 882-2473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061946
GA
Other
Enumeration date
05/18/2009
Last updated
11/16/2009
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