Organization
TOTAL HEALTHCARE OF LAGRANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SMITH OWNER (OWNER)
(706) 594-1346
Entity
Organization
Contact information
Practice address
3452 HOGANSVILLE RD, SUITE B, LAGRANGE, GA 30241-8269
(706) 302-3097
(866) 571-7675
Mailing address
3452 HOGANSVILLE RD, SUITE B, LAGRANGE, GA 30241-8269
(706) 302-3097
(866) 571-7675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
GA
207Q00000X
Family Medicine Physician
—
GA
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VIBK5UHI
—
GA
Enumeration date
04/19/2012
Last updated
01/20/2015
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