Organization
WEST GEORGIA OBSTETRICS & GYNECOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M. MURRAH (OFFICE ADMINISTRATOR)
(770) 834-0170
Entity
Organization
Contact information
Practice address
109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 834-0170
(770) 214-1456
Mailing address
109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 834-0170
(770) 214-1456
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223253A
—
GA
05
—
00824051A
—
GA
Enumeration date
01/08/2007
Last updated
08/22/2020
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