| Clark-holder Clinic, P.a. | |
|
Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 | |
| (706) 882-8831 | |
| (706) 812-4091 |
| Full Name | Clark-holder Clinic, P.a. |
|---|---|
| Speciality | Urology |
| Location | Clark-holder Clinic, P.a., Lagrange, Georgia |
| Authorized Official Name and Position | Donald J Harmon (CFO/CONTROLLER) |
| Authorized Official Contact | 7068124313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark-holder Clinic, P.a. Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 Ph: (706) 882-8831 | Clark-holder Clinic, P.a. Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 Ph: (706) 882-8831 |
| NPI Number | 1487682373 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487682373 | NPI | - | NPPES |
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Lagrange Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Dr, Ste 406, Lagrange, GA 30240 Phone: 706-845-7029 Fax: 706-812-1797 | |
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