HGA VILLA RICA, LLC
Osteopathic Medicine at Bankhead Hwy, Carrollton, GA

License number
Georgia 40639
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Georgia 40639
Category
Osteopathic Medicine
Type
Hospitalist
Owner
Name: VAUGHN S CLAGETTE MD
Title: PARTNER
Phone: (770) 838-8440
Address
Address 2
129 Bankhead Hwy, Carrollton, GA 30117
PO Box 6084, Douglasville, GA 30154
National Provider ID: 1033644067
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HGA VILLA RICA, LLC at bizstanding.com

HGA VILLA RICA, LLC

PO Box 6084, Douglasville, GA 30154

Registration:
Sep 27, 2005
State ID:
0564374
Business type:
Domestic Limited Liability Company
Agent:
Antavius Weems,260 Peachtree St SUITE 2200, Atlanta, GA (Physical)

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