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Organization

WEST GEORGIA MEDICAL CENTER INC

Active
Parent organization
WEST GEORGIA MEDICAL CENTER INC
Other names
West Georgia Health Michael D Myers MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST GEORGIA MEDICAL CENTER INC
Authorized official
MR. ANTHONY J BUDZINSKI (EVP)
(470) 644-0012
Entity
Organization

Contact information

Practice address
303 MEDICAL DR, STE 406, LAGRANGE, GA 30240-4169
(706) 242-5201
(706) 242-5204
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
208800000X
Urology Physician
Primary
64613
GA

Other

Enumeration date
07/01/2010
Last updated
02/24/2020
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