Organization
LAGRANGE INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA DEAN (OFFICE MANAGER)
(706) 298-2654
Entity
Organization
Contact information
Practice address
1602 VERNON RD, SUITE 400, LAGRANGE, GA 30240-4129
(706) 882-9341
(706) 884-0131
Mailing address
1602 VERNON RD, SUITE 400, LAGRANGE, GA 30240-4129
(706) 882-9341
(706) 884-0131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
03/12/2026
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