| NPI | 1578746608 |
|---|---|
| Doing Business As | WESTSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK BOWLING Administrator 706-868-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |