Pediatric Associates of Lagrange

NPI #1427176536 in Lagrange, Georgia

Provider Information

NPI Number: 1427176536
Entity Type: Organization
Organization Name: Pediatric Associates of Lagrange
Primary Specialty: Pediatrics
Enumeration Date: Mar 27, 2007
Last Updated: Jan 18, 2008

Practice Location

Address: 1495 LAFAYETTE PKWY
City: Lagrange
State: Georgia
ZIP Code: 30241-2552
Phone: (706) 885-1961

Authorized Official

Name: LISA PHARIS ALLARDICE, MD
Title: OWNER
Phone: (706) 855-1961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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