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Le Grand Health Alliance
Family Nurse Practitioner in Locust Grove, Georgia
NPI 1760127393

Le Grand Health Alliance is a Family Nurse Practitioner based in Locust Grove, GA and is specialized in Family. Le Grand Health Alliance practices in Locust Grove, GA. The NPI Number for Le Grand Health Alliance is 1760127393 and holds a License No. (Georgia).

The current practice location address for Le Grand Health Alliance is 700 Kaylors Mdw, Locust Grove, GA and can be reached out via phone at 864-608-1716.

Location: 700 Kaylors Mdw, Locust Grove, GA, 30248-3853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760127393
Provider Name
Le Grand Health Alliance
Credential
Provider Entity Type
Organization
Address
700 Kaylors Mdw, Locust Grove, GA, 30248-3853
Phone Number
864-608-1716
Fax Number
Provider Enumeration Date
04/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061732839 05 GA
institution
Provider Business Practice Location Address Details
Address
700 Kaylors Mdw
City
Locust Grove
State
Georgia
Zip
30248-3853
Phone Number
864-608-1716
Fax Number
person
Provider Business Mailing Address Details
Address
700 Kaylors Mdw
City
Locust Grove
State
Georgia
Zip
30248-3853
Phone Number
864-608-1716
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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