Organization
LAGRANGE CARDIOVASCULAR CENTER LLC
Active
Organization
LAGRANGE CARDIOVASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINUS ADAH WODI M.D. (OWNER)
(706) 883-7341
Entity
Organization
Contact information
Practice address
301 MEDICAL DR, SUITE 506, LAGRANGE, GA 30240-4144
(706) 883-7341
(706) 883-7572
Mailing address
301 MEDICAL DR, SUITE 506, LAGRANGE, GA 30240-4144
(706) 883-7341
(706) 883-7572
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
061683
GA
Other
Enumeration date
12/12/2008
Last updated
01/12/2009
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