Individual
DR. SALLY AGNES WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-0480
(404) 778-2890
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-0480
(404) 778-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361457A
—
GA
Enumeration date
10/03/2006
Last updated
10/31/2012
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