CLARKHOLDER CLINIC PA

LAGRANGE, GA
NPI1962427971
Entity TypeOrganization
Authorized ContactLISA KEETER
Cbo Manager
706-812-4206
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: GA  416)
Enumeration Date2006-07-12
Last Update Date2020-08-22
Business Address
CLARKHOLDER CLINIC PA
303 SMITH ST
LAGRANGE, GA 30240-2745
Phone number: 706-882-8831
Mailing Address
CLARKHOLDER CLINIC PA
303 SMITH ST
LAGRANGE, GA 30240-2745
Phone number: 706-882-8831