LAGRANGE MED CENTER LLC NPI 1043318355

NPI Information

  • NPI: 1043318355
  • Provider Name: LAGRANGE MED CENTER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D0963764
  • Address: 309 VERNON ST
    LAGRANGE, GA
    ZIP 30240
  • Phone: (706) 885-9110

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NPI Details

LAGRANGE MED CENTER, LLC is a family medicine in Lagrange, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAGRANGE MED CENTER, LLC NPI is 1043318355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 VERNON ST
LAGRANGE, GA
ZIP 30240-162
Phone: (706) 885-9110
Fax: (706) 885-9113

The provider's authorized official is Gary Ronald Solt .
The authorized official title is President/ceo and has the following contact phone number (706) 885-9110.

The CLIA number assigned to this NPI record is 11D0963764 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine024497GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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