Doctor Name: | A EUGENE WESTMORELAND |
NPI Number: | 1992771661 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 013534 |
Business Practice Address: | 479b N Hall Rd Dahlonega, GA - 305330627 |
Business Phone Number: | 7068647963 |
Business Fax Number: | 7068641588 |
Mailing Address: | Po Box 897, DAHLONEGA |
State: | GA |
Postal Code: | 305330015 |
Phone Number: | 7068647963 |
Fax Number: | 7068641588 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 013534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |