Lafayette Medical Providers
NPI #1144279399 in La Fayette, Georgia
Provider Information
- NPI Number
- 1144279399
- Entity Type
- Organization
- Organization Name
- Lafayette Medical Providers
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1201B N MAIN ST
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-2150
- Phone
- (706) 638-1506
Authorized Official
- Name
- MRS. PAMELA ANN BALLINGER
- Title
- OFFICE MANAGER
- Phone
- (706) 638-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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