Renal Associates of Lagrange LLC

NPI #1679813406 in Lagrange, Georgia

Provider Information

NPI Number
1679813406
Entity Type
Organization
Organization Name
Renal Associates of Lagrange LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Feb 14, 2013
Last Updated
Oct 15, 2013

Practice Location

Address
1300 LAFAYETTE PKWY
Address 2
BUILDING D
State
Georgia
ZIP Code
30241-2612
Phone
(706) 322-1486

Authorized Official

Name
DR. FERDINAND ALCAIDE, MD
Title
OWNER/PARTNER
Phone
(706) 322-1486

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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