Organization
PEDIATRIC ASSOCIATES OF LAGRANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PHARIS ALLARDICE MD (OWNER)
(706) 855-1961
Entity
Organization
Contact information
Practice address
1495 LAFAYETTE PKWY, LAGRANGE, GA 30241-2552
(706) 885-1961
(706) 885-1963
Mailing address
1495 LAFAYETTE PKWY, LAGRANGE, GA 30241-2552
(706) 885-1961
(706) 885-1963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038421
GA
Other
Enumeration date
03/27/2007
Last updated
01/18/2008
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