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Individual

DEBBIE WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
116 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 751-2580
(478) 953-6727
Mailing address
300 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 923-0131
(478) 953-6727

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
041028
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000684549C
GA
01
000684549D
MEDICAID
GA
Enumeration date
02/28/2006
Last updated
03/01/2012
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