| West Walton Health Clinic | |
|
4385 Pecan St Loganville GA 30052-2637 | |
| (770) 466-1789 | |
| (770) 466-1321 |
| Full Name | West Walton Health Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 4385 Pecan St, Loganville, Georgia |
| Authorized Official Name and Position | Donald S Goggans (HEALTH DIRECTOR) |
| Authorized Official Contact | 7065832870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Walton Health Clinic 4385 Pecan St Loganville GA 30052-2637 Ph: (770) 466-1789 | West Walton Health Clinic 4385 Pecan St Loganville GA 30052-2637 Ph: (770) 466-1789 |
| NPI Number | 1942324181 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942324181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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