Organization
7 WESTERN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN C WEATHERSPOON M.D. (PRESIDENT)
(912) 673-9355
Entity
Organization
Contact information
Practice address
51 LINDSEY LN, KINGSLAND, GA 31548-6836
(912) 673-9355
(912) 673-6532
Mailing address
51 LINDSEY LN, KINGSLAND, GA 31548-6836
(912) 673-9355
(912) 673-6532
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
033482
GA
Other
Enumeration date
06/08/2007
Last updated
04/25/2011
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