| Organization Name: | WEST GEORGIA THERAPY CENTER, LLC |
| NPI Number: | 1114987393 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE BO HAMIL (CEO/PRESIDENT) |
| Mailing Address: | 605 North Ave Villa Rica |
| State: | GA US |
| Postal Code: | 301801206 |
| Phone Number: | 7704563472 |
| Fax Number: | 7704563230 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |