| Lafayette Neurology, PC | |
|
1075 Lafayette Parkway Suite 210 Lagrange GA 30241-3584 | |
| (706) 350-5525 | |
| (706) 350-5295 |
| Full Name | Lafayette Neurology, PC |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1075 Lafayette Parkway, Lagrange, Georgia |
| Authorized Official Name and Position | Ramona Burnside (OFFICE MGR.) |
| Authorized Official Contact | 7063505525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Neurology, PC 1075 Lafayette Parkway Suite 210 Lagrange GA 30241-3584 Ph: (706) 350-5525 | Lafayette Neurology, PC 1075 Lafayette Parkway Suite 210 Lagrange GA 30241-3584 Ph: (706) 350-5525 |
| NPI Number | 1164882635 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164882635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 58107 (Georgia) | Primary |
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