Organization
WC PHYSICIAN GROUP LLC
Active
Other names
C/O Hospital Authority of Washington County
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BREDTHAUER (CFO)
(478) 240-2102
Entity
Organization
Contact information
Practice address
610 SPARTA RD, SANDERSVILLE, GA 31082
(478) 240-2000
Mailing address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
06/27/2023
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