Organization
WEST GEORGIA MEDICAL CENTER, INC.
Active
Parent organization
WEST GEORGIA MEDICAL CENTER, INC.
Other names
West Georgia Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST GEORGIA MEDICAL CENTER, INC.
Authorized official
MR. GERALD N. FULKS (PRESIDENT/CEO)
(706) 845-3702
Entity
Organization
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(706) 845-8918
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(706) 845-8918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
10/08/2014
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