Organization
WEST GEORGIA MEDICAL CENTER, INC
Active
Other names
Wellstar Pharmacy Network #12
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER ERZUAH (EXEC. DIRECTOR REIMBURSEMENT)
(470) 956-4981
Entity
Organization
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(470) 644-0328
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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