Clarkholder Clinic PA

NPI #1962427971 in Lagrange, Georgia

Provider Information

NPI Number
1962427971
Entity Type
Organization
Organization Name
Clarkholder Clinic PA
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jul 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
303 SMITH ST
State
Georgia
ZIP Code
30240-2745
Phone
(706) 882-8831

Authorized Official

Name
LISA KEETER
Title
CBO MANAGER
Phone
(706) 812-4206

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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