Medical Care Of Lagrange, Llc | |
300 Medical Dr Suite 701 Lagrange GA 30240-4130 | |
(706) 882-8971 | |
(706) 882-8991 |
Full Name | Medical Care Of Lagrange, Llc |
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Speciality | Internal Medicine |
Location | 300 Medical Dr, Lagrange, Georgia |
Authorized Official Name and Position | Debbie Morris (BUSINESS OFFICE MGR) |
Authorized Official Contact | 7068828971 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Care Of Lagrange, Llc 300 Medical Drive Suite 701 Lagrange GA 30240 Ph: (706) 882-8971 | Medical Care Of Lagrange, Llc 300 Medical Dr Suite 701 Lagrange GA 30240-4130 Ph: (706) 882-8971 |
NPI Number | 1104002799 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 03/04/2008 |
Medicare PECOS PAC ID | 4486735701 |
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Medicare Enrollment ID | O20080112000097 |
Identifier | Type | State | Issuer |
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1104002799 | NPI | - | NPPES |
00843873G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 048066 (Georgia) | Primary |
Provider Name | Anil R Modi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508868704 PECOS PAC ID: 4587687611 Enrollment ID: I20060104000532 |
Lagrange Med Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 | |
Troup Cares, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 Fax: 706-882-9591 | |
Lagrange Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Dr, Ste 406, Lagrange, GA 30240 Phone: 706-845-7029 Fax: 706-812-1797 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |