Organization
PRIMARY CARE GROUP OF WEST GEORGIA
Active
Parent organization
PRIMARY CARE GROUP OF WEST GEORGIA
Other names
Pulmonary Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE GROUP OF WEST GEORGIA
Authorized official
MRS. TREBBA PUTNAM CPC MPA (ADMINISTRATOR)
(770) 838-1570
Entity
Organization
Contact information
Practice address
7869 VILLA RICA HWY, DALLAS, GA 30157-8638
(770) 838-1570
(770) 838-1722
Mailing address
100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117-3874
(770) 838-1570
(770) 838-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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