| Primary Care Group Of West Georgia | |
|
7869 Villa Rica Hwy Dallas GA 30157-8638 | |
| (770) 838-1570 | |
| (770) 838-1722 |
| Full Name | Primary Care Group Of West Georgia |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 7869 Villa Rica Hwy, Dallas, Georgia |
| Authorized Official Name and Position | Trebba Putnam (ADMINISTRATOR) |
| Authorized Official Contact | 7708381570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Group Of West Georgia 100 Professional Pl Suite 204 Carrollton GA 30117-3874 Ph: (770) 838-1570 | Primary Care Group Of West Georgia 7869 Villa Rica Hwy Dallas GA 30157-8638 Ph: (770) 838-1570 |
| NPI Number | 1598938185 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598938185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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