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WEST GEORGIA MEDICAL CENTER INC. NPI 1356664247


NPI Information

NPI: 1356664247
Provider Name: WEST GEORGIA MEDICAL CENTER, INC.

Doing Business As: WEST GEORGIA MEDICAL CENTER

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1514 VERNON RD
LAGRANGE, GA
ZIP 30240
Phone: (706) 882-1411
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WEST GEORGIA MEDICAL CENTER, INC. is a dietitian registered in Lagrange, GA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. WEST GEORGIA MEDICAL CENTER, INC. NPI is 1356664247. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Georgia Medical Center.

The provider's business location address is:

1514 VERNON RD
LAGRANGE, GA
ZIP 30240-131
Phone: (706) 882-1411
Fax: (706) 845-8918

The provider's authorized official is Gerald N. Fulks .
The authorized official title is President/ceo and has the following contact phone number (706) 845-3702.

The enumeration date for this NPI number is 3/5/2010 and was last updated on 10/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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