Organization
LAFAYETTE NEUROLOGY, PC
Active
Organization
LAFAYETTE NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA BURNSIDE (OFFICE MGR.)
(706) 350-5525
Entity
Organization
Contact information
Practice address
1075 LAFAYETTE PARKWAY, SUITE 210, LAGRANGE, GA 30241-3584
(706) 350-5525
(706) 350-5295
Mailing address
1075 LAFAYETTE PARKWAY, SUITE 210, LAGRANGE, GA 30241-3584
(706) 350-5525
(706) 350-5295
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
58107
GA
Other
Enumeration date
02/26/2016
Last updated
08/14/2018
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