LAGRANGE PRIMARY CARE PC

LAGRANGE, GA
NPI1548501380
Entity TypeOrganization
Authorized ContactVISHWAS KADAM
Owner
678-923-9486
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  062529)
Enumeration Date2013-03-04
Last Update Date2013-06-25
Business Address
LAGRANGE PRIMARY CARE PC
505 JENKINS ST
LAGRANGE, GA 30240-4225
Phone number: 678-923-9486
Mailing Address
LAGRANGE PRIMARY CARE PC
25 TURNBERRY CIR
NEWNAN, GA 30265-4154
Phone number: 678-923-9486
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