NPI | 1639364961 |
---|---|
Doing Business As | LAGRANGE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SUZANNE WRIGHT SCHUESSLER Md 706-883-6363 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: AL 12822) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-10 |