Jeanphis Laguerre MD PC

NPI #1336397595 in Moultrie, Georgia

Provider Information

NPI Number: 1336397595
Entity Type: Organization
Organization Name: Jeanphis Laguerre MD PC
Primary Specialty: Specialist
Enumeration Date: Aug 29, 2008
Last Updated: Aug 29, 2008

Practice Location

Address: 3007B 2ND ST SE
City: Moultrie
State: Georgia
ZIP Code: 31768-6798
Phone: (229) 891-9009

Authorized Official

Name: JUDY B RICKS
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (229) 891-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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