| Medical Care Of Lagrange, Llc | |
|
300 Medical Dr Suite 701 Lagrange GA 30240-4130 | |
| (706) 882-8971 | |
| (706) 882-8991 |
| Full Name | Medical Care Of Lagrange, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Medical Dr, Lagrange, Georgia |
| Authorized Official Name and Position | Debbie Morris (BUSINESS OFFICE MGR) |
| Authorized Official Contact | 7068828971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Of Lagrange, Llc 300 Medical Drive Suite 701 Lagrange GA 30240 Ph: (706) 882-8971 | Medical Care Of Lagrange, Llc 300 Medical Dr Suite 701 Lagrange GA 30240-4130 Ph: (706) 882-8971 |
| NPI Number | 1104002799 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 03/04/2008 |
| Medicare PECOS PAC ID | 4486735701 |
|---|---|
| Medicare Enrollment ID | O20080112000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104002799 | NPI | - | NPPES |
| 00843873G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048066 (Georgia) | Primary |
| Provider Name | Anil R Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508868704 PECOS PAC ID: 4587687611 Enrollment ID: I20060104000532 |
Wolf Specific, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-415-5245 | |
Lagrange Med Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 | |
Troup Cares, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 Fax: 706-882-9591 | |
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 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Glenn Bass Rd, Lagrange, GA 30240 Phone: 706-845-3075 Fax: 706-882-8420 |