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Prestige Advanced Healthcare
Primary Care Clinic/Center in Lagrange, Georgia
NPI 1942736160

Prestige Advanced Healthcare is a Primary Care Clinic/Center based in Newnan, GA and is specialized in Primary Care. Prestige Advanced Healthcare practices in Lagrange, GA. The NPI Number for Prestige Advanced Healthcare is 1942736160 and holds a License No. 233631 (Georgia).

The current practice location address for Prestige Advanced Healthcare is 102 Main St Ste 204, Lagrange, GA and can be reached out via phone at 706-756-5317 and via fax at 844-740-1379.

Location: 102 Main St Ste 204, Lagrange, GA, 30263-2370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942736160
Provider Name
Prestige Advanced Healthcare
Credential
Provider Entity Type
Organization
Address
102 Main St Ste 204, Lagrange, GA, 30263-2370
Phone Number
706-756-5317
Fax Number
844-740-1379
Provider Enumeration Date
05/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730557752 01 GA NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
102 Main St Ste 204
City
Lagrange
State
Georgia
Zip
30240-3225
Phone Number
706-756-5317
Fax Number
844-740-1379
person
Provider Business Mailing Address Details
Address
102 Main St Ste 204
City
Lagrange
State
Georgia
Zip
30240-3225
Phone Number
706-756-5317
Fax Number
844-740-1379
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
233631 (Georgia)
Definition
Definition to come...
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