Lagrange Med Center, Llc

NPI 1043318355 - Family Medicine - 207Q00000X

NPI Details
NPI 1043318355
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY RONALD GARY
Position PRESIDENT/CEO
Phone (706) 885-9110
Fax (706) 885-9113
Practice Location
309 VERNON ST
LAGRANGE GA, 30240-3162, US
Phone (706) 885-9110
Fax (706) 885-9113
Business Location
309 VERNON ST
LAGRANGE GA, 30240-3162, US
Phone (706) 885-9110
Fax (706) 885-9113
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 024497
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According to our database, Lagrange Med Center, Llc NPI is 1043318355, taxonomy code is 207Q00000X and license number is 024497, license state is located at Georgia. Lagrange Med Center, Llc physically located at 309 Vernon St, Lagrange GA, 30240-3162. NPI Number 1033115704 has the healthcare provider type.

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1043318355 NPI number is provided on an as is basis without warranty of any kind. 1043318355 is maintained by the National Plan & Provider Enumeration System. The contents of Lagrange Med Center, Llc are for informational purposes only.