Organization · Type 2 NPI
Prestige Advanced Healthcare
Primary Care Clinic/Center · Lagrange, GA
NPI number
1942736160
Active
Practice location
102 Main St Ste 204
Lagrange, GA 30240-3225
Fax (844) 740-1379
Mailing address
43 Brisbane Ct
Newnan, GA 30263-2370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 233631 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1942736160
Prestige Advanced Healthcare's National Provider Identifier is 1942736160, issued on May 8, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lagrange, GA. The record was last updated on Oct 18, 2018.