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Organization

LAGRANGE OBSTETRICS & GYNECOLOGY

Active
Other names
HAVEN GYNECOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN STEPHEN CHADWICK MD, PHD (PRESIDENT)
(706) 812-2229
Entity
Organization

Contact information

Practice address
307 CHURCH ST, SUITE A, LAGRANGE, GA 30240-2700
(706) 812-2229
(706) 882-6455
Mailing address
307 CHURCH ST, SUITE A, LAGRANGE, GA 30240-2700
(706) 812-2229
(706) 882-6455

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
01/25/2007
Last updated
07/15/2010
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