| Lafayette Family Practice | |
|
611 N Main St La Fayette GA 30728-2241 | |
| (706) 638-5300 | |
| (706) 638-5323 |
| Full Name | Lafayette Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 611 N Main St, La Fayette, Georgia |
| Authorized Official Name and Position | George Paul Shaw (DOCTOR) |
| Authorized Official Contact | 7066385300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Family Practice 611 N Main St La Fayette GA 30728-2241 Ph: (706) 638-5300 | Lafayette Family Practice 611 N Main St La Fayette GA 30728-2241 Ph: (706) 638-5300 |
| NPI Number | 1508058066 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508058066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22056 (Georgia) | Primary |
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