Organization
RENAL ASSOCIATES OF LAGRANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERDINAND ALCAIDE MD (OWNER/PARTNER)
(706) 322-1486
Entity
Organization
Contact information
Practice address
1300 LAFAYETTE PKWY, BUILDING D, LAGRANGE, GA 30241-2612
(706) 322-1486
(706) 324-3419
Mailing address
6228 BRADLEY PARK DR, SUITE A, COLUMBUS, GA 31904-3603
(706) 322-1486
(706) 324-3419
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
38662, 49226, 53587,
GA
Other
Enumeration date
02/14/2013
Last updated
10/15/2013
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