| Northwest Georgia Medical Group, Llc | |
|
400 Timms Rd Ne Calhoun GA 30701-7016 | |
| (706) 625-0022 | |
| (706) 625-3988 |
| Full Name | Northwest Georgia Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Timms Rd Ne, Calhoun, Georgia |
| Authorized Official Name and Position | Neil Gavel (ADMINISTRATOR) |
| Authorized Official Contact | 7066250525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Georgia Medical Group, Llc 400 Timms Rd Ne Calhoun GA 30701-7016 Ph: (706) 625-0022 | Northwest Georgia Medical Group, Llc 400 Timms Rd Ne Calhoun GA 30701-7016 Ph: (706) 625-0022 |
| NPI Number | 1285734061 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285734061 | NPI | - | NPPES |
| 260696827A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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