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Organization

WEST GEORGIA MEDICAL CENTER, INC.

Active
Other names
West Georgia Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN G KERNDL (EVP)
(470) 644-0076
Entity
Organization

Contact information

Practice address
1510 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3905
(706) 845-8918
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 999-2489

Taxonomy

Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00371896A
GA
Enumeration date
09/03/2009
Last updated
02/16/2026
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