| 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 |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104002799 | NPI | - | NPPES |
| 00843873G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048066 (Georgia) | Primary |
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