# TOTAL HEALTHCARE OF LAGRANGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740547447
- **Authorized official:** MR. CHRISTOPHER SMITH OWNER (OWNER)
- **Authorized official phone:** (706) 594-1346

## Contact information

- **Practice address:** 3452 HOGANSVILLE RD, SUITE B, LAGRANGE, GA 30241-8269
- **Practice address phone:** (706) 302-3097
- **Practice address fax:** (866) 571-7675
- **Mailing address:** 3452 HOGANSVILLE RD, SUITE B, LAGRANGE, GA 30241-8269
- **Mailing address phone:** (706) 302-3097
- **Mailing address fax:** (866) 571-7675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | GA | — |
| 207Q00000X | Family Medicine Physician | — | GA | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | GA | — |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | VIBK5UHI | — | GA |