Organization
WEST GEORGIA MEDICAL GROUP-LAGRANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE DIOSDADO FERIA M.D. (PRESIDENT)
(706) 882-7440
Entity
Organization
Contact information
Practice address
142 OLD MILL RD, LAGRANGE, GA 30241-6704
(706) 882-7440
(706) 882-1350
Mailing address
142 OLD MILL RD, LAGRANGE, GA 30241-6704
(706) 882-7440
(706) 882-1350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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