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NPI Code Detail

MEDICARE: WEST GEORGIA HEALTH SYSTEM

MEDICARE: WEST GEORGIA HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalPHH004026GA

General Provider Information

NPI Number : 1174506943
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST GEORGIA HEALTH SYSTEM
Provider Business Mailing Address
First Line : 1514 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4131
Country : US
Telephone Number : 706-845-3731
Fax Number : 706-845-3010
Provider Business Practice Location Address
First Line : 1514 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4131
Country : US
Telephone Number : 706-845-3731
Fax Number : 706-845-3010
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : DON DAVIS
Credential : R.PH.
Telephone Number : 706-845-3808
Provider Enumeration Date : 11/25/2005
Last Update Date : 08/22/2020

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1457342909 — MR. WILLIAM LOUIS KUERZI P.T.
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1831170554 — MISS PATSY CLAUDIA HENDRIX TECHNICIAN
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1326021080 — JANICE TAYLOR PAGE PHARMD
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Directions to “WEST GEORGIA HEALTH SYSTEM ” Practice Location

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