DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PRIMARY CARE GROUP OF WEST GEORGIA

MEDICARE: PRIMARY CARE GROUP OF WEST GEORGIA
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
1207Q00000XFamily Medicine Physician
2207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1598938185
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY CARE GROUP OF WEST GEORGIA
Provider Business Mailing Address
First Line : 100 PROFESSIONAL PL
Second Line : SUITE 204
City : CARROLLTON
State : GA
Zip : 30117-3874
Country : US
Telephone Number : 770-838-1570
Fax Number : 770-838-1722
Provider Business Practice Location Address
First Line : 7869 VILLA RICA HWY
Second Line :
City : DALLAS
State : GA
Zip : 30157-8638
Country : US
Telephone Number : 770-838-1570
Fax Number : 770-838-1722
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. TREBBA PUTNAM
Credential : CPC MPA
Telephone Number : 770-838-1570
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

Similar Medicare Providers

1760458319 — DR. MICHAEL L MILES MD
Practice Location Address:
7869 VILLA RICA HWY
DALLAS, GA
30157-8638
Practice Phone: 770-459-8449
Practice Fax:
1053509216 — LIFETIME FAMILY MEDICINE,LLC
Practice Location Address:
7869 VILLA RICA HWY
DALLAS, GA
30157-8638
Practice Phone: 770-459-8449
Practice Fax:
1518524230 — JESSICA PALOMBO FNP-C
Practice Location Address:
7869 VILLA RICA HWY
DALLAS, GA
30157-8638
Practice Phone: 770-459-8449
Practice Fax:
1114513124 — GIANG T HA MD
Practice Location Address:
7869 VILLA RICA HWY
DALLAS, GA
30157-8638
Practice Phone: 770-459-8449
Practice Fax:
1902542152 — JARRETT HAYLES-PATTERSON FNP-C
Practice Location Address:
7869 VILLA RICA HWY
DALLAS, GA
30157-8638
Practice Phone: 770-459-8449
Practice Fax: 404-446-3342
1437710126 — REBECCA MARIE OZIMEK CNM
Practice Location Address:
120 GREYSTONE POWER BLVD STE 100
DALLAS, GA
30157-8297
Practice Phone: 678-945-8345
Practice Fax: 470-956-1180

Directions to “PRIMARY CARE GROUP OF WEST GEORGIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.