WEST GEORGIA DERMATOLOGY PC

LAGRANGE, GA
NPI1760493167
Entity TypeOrganization
Authorized ContactGARIN DANIEL BARTH
Owner
706-882-5119
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: GA  30949)
Enumeration Date2006-08-10
Last Update Date2014-03-20
Business Address
WEST GEORGIA DERMATOLOGY PC
1605 WHITESVILLE ST
LAGRANGE, GA 30240-5903
Phone number: 706-882-5119
Mailing Address
WEST GEORGIA DERMATOLOGY PC
1605 WHITESVILLE ST
LAGRANGE, GA 30240-5903
Phone number: 706-882-5119