Organization
WOMEN'S CARE OF WEST GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R VERA MD (PRESIDENT)
(770) 771-5235
Entity
Organization
Contact information
Practice address
403 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3252
(770) 771-5235
(770) 771-5236
Mailing address
PO BOX 1615, VILLA RICA, GA 30180-6409
(770) 771-5235
(770) 771-5236
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052389
GA
Other
Enumeration date
08/31/2006
Last updated
04/09/2008
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