Lagrange Family Medicine

NPI #1124201249 in Lagrange, Georgia

Provider Information

NPI Number: 1124201249
Entity Type: Organization
Organization Name: Lagrange Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 303 MEDICAL DR
Address 2: STE 406
City: Lagrange
State: Georgia
ZIP Code: 30240-4169
Phone: (706) 845-7029

Authorized Official

Name: DR. RASHAWN MANN BLAKENEY, MD
Title: PRESIDENT
Phone: (706) 845-7029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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