Renal Associates of Lagrange LLC

NPI #1295219103 in Lagrange, Georgia

Provider Information

NPI Number
1295219103
Entity Type
Organization
Organization Name
Renal Associates of Lagrange LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Sep 18, 2018
Last Updated
Sep 18, 2018

Practice Location

Address
1300 LAFAYETTE PKWY STE D
State
Georgia
ZIP Code
30241-2610
Phone
(706) 322-1486

Authorized Official

Name
BEVERLY REYNOLDS
Title
OFFICE MANAGER
Phone
(706) 322-1486

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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