Organization
WEST GEORGIA INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BARGE (ADMINISTRATOR)
(770) 834-6208
Entity
Organization
Contact information
Practice address
706 DIXIE ST STE 300, CARROLLTON, GA 30117-3890
(770) 834-6208
(770) 830-7620
Mailing address
706 DIXIE ST STE 300, CARROLLTON, GA 30117-3890
(770) 834-6208
(770) 830-7620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002004G
—
GA
Enumeration date
03/14/2006
Last updated
07/25/2022
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