| Lighthouse Family Practice | |
|
12134 Augusta Rd Ste A Lavonia GA 30553-1208 | |
| (706) 377-3349 | |
| Not Available |
| Full Name | Lighthouse Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 12134 Augusta Rd, Lavonia, Georgia |
| Authorized Official Name and Position | Paul E Raber (OWNER PHYSICIAN) |
| Authorized Official Contact | 7063773349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Practice 12134 Augusta Rd Lavonia GA 30553-1208 Ph: (706) 356-1422 | Lighthouse Family Practice 12134 Augusta Rd Ste A Lavonia GA 30553-1208 Ph: (706) 377-3349 |
| NPI Number | 1881769461 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881769461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042704 (Georgia) | Primary |
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