Organization
HOMETOWN PHYSICIAN GROUP, LLC
Active
Other names
Hometown Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE TERRELL ALFORD JR. M.D. (OWNER/PHYSICIAN)
(706) 594-1598
Entity
Organization
Contact information
Practice address
1698 VERNON RD, LAGRANGE, GA 30240-4100
(706) 298-4937
Mailing address
300 MOOTY BRIDGE RD, SUITE 114, LAGRANGE, GA 30240-1881
(706) 523-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044619
GA
Other
Enumeration date
05/24/2016
Last updated
08/02/2016
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