Lagrange Family Medicine
Family Medicine in Lagrange, GA. Organization (NPI-2).
NPI number1124201249
StatusActive
Last updated in NPPESDec 12, 2007
Details
- NPI
- 1124201249
- Entity type
- Organization (NPI-2)
- Legal business name
- Lagrange Family Medicine
- Organization subpart
- No
- Enumeration date
- Dec 12, 2007
- Last updated
- Dec 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
303 Medical DrSte 406
Lagrange, GA 30240-4169
Phone 706-845-7029 · Fax 706-812-1797
Mailing address
303 Medical DrSte 406
Lagrange, GA 30240-4169
Phone 706-845-7029 · Fax 706-812-1797
Authorized official
Rashawn Mann Blakeney
President
7068457029
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All 21 Family Medicine Physician providers in Lagrange · All 1,064 providers in Lagrange
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