Organization
WEST GEORGIA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLLOWAY (ADMINISTRATOR)
(706) 323-3491
Entity
Organization
Contact information
Practice address
6600 WHITTLESEY BLVD BLDG A, COLUMBUS, GA 31909-7251
(706) 323-3491
Mailing address
2616 WARM SPRINGS RD, COLUMBUS, GA 31904-5323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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