# WOMEN'S CARE OF WEST GEORGIA, LLC

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

## Provider details

- **NPI number:** 1992816052
- **Authorized official:** ERIC R VERA MD (PRESIDENT)
- **Authorized official phone:** (770) 771-5235

## Contact information

- **Practice address:** 403 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3252
- **Practice address phone:** (770) 771-5235
- **Practice address fax:** (770) 771-5236
- **Mailing address:** PO BOX 1615, VILLA RICA, GA 30180-6409
- **Mailing address phone:** (770) 771-5235
- **Mailing address fax:** (770) 771-5236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 052389 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/09/2008