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1124201249
LAGRANGE FAMILY MEDICINE
LAGRANGE, GA
NPI
1124201249
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Entity Type
Organization
Authorized Contact
RASHAWN MANN BLAKENEY
President
706-845-7029
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
LAGRANGE FAMILY MEDICINE
303 MEDICAL DR STE 406
LAGRANGE, GA 30240-4169
Phone number: 706-845-7029
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Mailing Address
LAGRANGE FAMILY MEDICINE
303 MEDICAL DR STE 406
LAGRANGE, GA 30240-4169
Phone number: 706-845-7029
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