Organization
WEST GEORGIA HEALTH PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD N FULKS (DIRECTOR)
(706) 882-1411
Entity
Organization
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
PO BOX 1483, COLUMBUS, GA 31902-1483
(706) 882-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
04/05/2011
Last updated
08/26/2013
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