University Of West Georgia is a health care provider in Dallas, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1601 Maple St, Carrollton, GA 30118-0001, US|
|Practice Location Phone||678-839-6628|
|Practice Location Fax||972-367-3451|
|Legal Business Name||UNIVERSITY OF WEST GEORGIA|
|Other Organization Name||WEST GEORGIA SPORTS MEDICINE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jan 20, 2015|
|Last Update Date ?||Jan 20, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|
|Family Medicine||Allopathic & Osteopathic Physicians||Sports Medicine|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the University Of West Georgia's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mouzon Bass|
|Authorized Official Title/Position||AGENT|
|Authorized Official Phone Number||180-055-59073|