TOTAL HEALTHCARE OF LAGRANGE LLC NPI 1740547447

NPI Information

NPI: 1740547447
Provider Name: TOTAL HEALTHCARE OF LAGRANGE, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3452 HOGANSVILLE RD
SUITE B
LAGRANGE, GA
ZIP 30241
Phone: (706) 302-3097
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TOTAL HEALTHCARE OF LAGRANGE, LLC is a general practice in Lagrange, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TOTAL HEALTHCARE OF LAGRANGE, LLC NPI is 1740547447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3452 HOGANSVILLE RD
SUITE B
LAGRANGE, GA
ZIP 30241-269
Phone: (706) 302-3097
Fax: (866) 571-7675

The provider's authorized official is Christopher Smith .
The authorized official title is Owner and has the following contact phone number (706) 594-1346.

The enumeration date for this NPI number is 4/19/2012 and was last updated on 1/20/2015.

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 State	Primary
1	111N00000X	Chiropractor		GEORGIA	No
2	207Q00000X	Family Medicine		GEORGIA	No
3	363L00000X	Nurse Practitioner		GEORGIA	No
4	363A00000X	Physician Assistant			No
5	208VP0014X	Pain Medicine	Interventional Pain Medicine		No
6	208D00000X	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003145313A	MEDICARE UPIN
2	VIBK5UHI	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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