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1831422484
WEST GEORGIA MEDICAL GROUP-LAGRANGE
LAGRANGE, GA
NPI
1831422484
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Entity Type
Organization
Authorized Contact
ANDRE DIOSDADO FERIA
President
706-882-7440
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
WEST GEORGIA MEDICAL GROUP-LAGRANGE
142 OLD MILL RD
LAGRANGE, GA 30241-6704
Phone number: 706-882-7440
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Mailing Address
WEST GEORGIA MEDICAL GROUP-LAGRANGE
142 OLD MILL RD
LAGRANGE, GA 30241-6704
Phone number: 706-882-7440
Copy
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