Nra Lagrange Georgia Llc

NPI 1417134206 - Clinic/Center - 261QE0700X

NPI Details
NPI 1417134206
Enumeration Date 01/24/2008
Last Updated 02/10/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JON M. JON
Position VICE PRESIDENT
Phone (706) 884-6825
Fax (706) 884-6851
Practice Location
140 OLD MILL ROAD
LAGRANGE GA, 30241-6704, US
Phone (706) 884-6825
Fax (706) 884-6851
Business Location
1550 W. MCEWEN DRIVE
SUITE 500
FRANKLIN TN, 37067-1731, US
Phone (615) 661-1100
Fax (615) 507-3300
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Nra Lagrange Georgia Llc NPI is 1417134206, taxonomy code is 261QE0700X Nra Lagrange Georgia Llc physically located at 140 Old Mill Road, Lagrange GA, 30241-6704. NPI Number 1033115704 has the healthcare provider type.

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1417134206 NPI number is provided on an as is basis without warranty of any kind. 1417134206 is maintained by the National Plan & Provider Enumeration System. The contents of Nra Lagrange Georgia Llc are for informational purposes only.