| NPI | 1164626982 |
|---|---|
| Former Legal Business Name | WEST GEORGIA HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | GERALD FULKS CEO 706-882-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 1092) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |