Contract Details
West Georgia Worx
Facility name
West Georgia Health Physicians
Provider ID
P000008317
Tax ID
275125341
Effective Date
7/15/2015
Last Updated
3/27/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_254
Location Details
Address
1514 Vernon Road
Lagrange, GA 30240
United States
County
Troup
Phone
7068821411 (Phone)
Billing Details
Address
1514 Vernon Road
Lagrange, GA 30240
Billing Phone
7068821411
Specialty Type
Multi-Specialty Practice
Map
Address