Organization
LAGRANGE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAWN MANN BLAKENEY MD (PRESIDENT)
(706) 845-7029
Entity
Organization
Contact information
Practice address
303 MEDICAL DR, STE 406, LAGRANGE, GA 30240-4169
(706) 845-7029
(706) 812-1797
Mailing address
303 MEDICAL DR, STE 406, LAGRANGE, GA 30240-4169
(706) 845-7029
(706) 812-1797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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