MEDICARE: PEDIATRIC ASSOCIATES OF LAGRANGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	038421	GA

General Provider Information

NPI Number	:	1427176536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC ASSOCIATES OF LAGRANGE

Provider Business Mailing Address
First Line	:	1495 LAFAYETTE PKWY
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-2552
Country	:	US
Telephone Number	:	706-885-1961
Fax Number	:	706-885-1963

Provider Business Practice Location Address
First Line	:	1495 LAFAYETTE PKWY
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-2552
Country	:	US
Telephone Number	:	706-885-1961
Fax Number	:	706-885-1963

Authorized Official
Title or Position	:	OWNER
Name	:	LISA PHARIS ALLARDICE
Credential	:	MD
Telephone Number	:	706-855-1961

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	01/18/2008

Similar Medicare Providers

1467439133 — DR. WILLIAM B BOHANNON DO
Practice Location Address:

1497 LAFAYETTE PKWY
LAGRANGE, GA
30241-2552

Practice Phone: 706-803-8190
Practice Fax:

1750338968 — DR. SRINIVAS R BRAMHADEVI MD
Practice Location Address:

1497 LAFAYETTE STREET
LAGRANGE, GA
30241-2552

Practice Phone: 706-880-7335
Practice Fax: 706-812-2403

1316039233 — MS. KATHY B GUNTER CCC-SLP
Practice Location Address:

1495 LAFAYETTE PARKWAY
LAGRANGE, GA
30241-2552

Practice Phone: 706-883-7322
Practice Fax: 706-883-8187

1376609784 — MS. PATRICIA ANN SALTER DMD
Practice Location Address:

1423 LAFAYETTE PKWY
LAGRANGE, GA
30241-2552

Practice Phone: 706-884-2457
Practice Fax: 706-845-9786

1154487577 — PATRICIA ANN DELOACH SALTER, DMD, PC
Practice Location Address:

1423 LAFAYETTE PKWY
LAGRANGE, GA
30241-2552

Practice Phone: 706-884-2457
Practice Fax: 706-845-9786

1588106009 — KEVIN EUGENE KNIGHT APRN
Practice Location Address:

1497 LAFAYETTE PKWY
LAGRANGE, GA
30241-2552

Practice Phone: 706-880-7335
Practice Fax:

Directions to “PEDIATRIC ASSOCIATES OF LAGRANGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.