Georgia Stars Medical Clinic, LLC

NPI #1255989794 in Lagrange, Georgia

Provider Information

NPI Number: 1255989794
Entity Type: Organization
Organization Name: Georgia Stars Medical Clinic, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 142 OLD MILL RD
City: Lagrange
State: Georgia
ZIP Code: 30241-6704
Phone: (706) 885-1900

Authorized Official

Name: DR. QUOC VINH NGO, MD
Title: OWNER
Phone: (706) 885-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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