HGA VILLA RICA, LLC

CARROLLTON, GA
NPI1033644067
Entity TypeOrganization
Authorized ContactVAUGHN S CLAGETTE
Partner
770-838-8440
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  40639)
Additional Taxonomies208M00000X Hospitalist
(Licence: GA  40639)
Enumeration Date2017-04-27
Last Update Date2017-04-27
Business Address
HGA VILLA RICA, LLC
129 BANKHEAD HWY
CARROLLTON, GA 30117-3425
Phone number: 770-838-8440
Mailing Address
HGA VILLA RICA, LLC
PO BOX 6084
DOUGLASVILLE, GA 30154-0019
Phone number: