| West Georgia Orthodontics | |
|
3645 Gentian Blvd Suite 2 Columbus GA 31907-5687 | |
| (706) 660-0221 | |
| (706) 660-0132 |
| Full Name | West Georgia Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3645 Gentian Blvd, Columbus, Georgia |
| Authorized Official Name and Position | Peggy H Augustine (OWNER ORTHODONTIST) |
| Authorized Official Contact | 7066600221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Georgia Orthodontics 3645 Gentian Blvd Suite 2 Columbus GA 31907-5687 Ph: (706) 660-0221 | West Georgia Orthodontics 3645 Gentian Blvd Suite 2 Columbus GA 31907-5687 Ph: (706) 660-0221 |
| NPI Number | 1215086533 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215086533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 012299 (Georgia) | Primary |
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