Lagrange Cardiovascular Center LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

061683 Issued in GA

Legal business name

LAGRANGE CARDIOVASCULAR CENTER LLC

Practice address

301 Medical Dr
Suite 506
Lagrange, GA 30240-4144

Phone

(706) 883-7341

Fax

(706) 883-7572

NPI assigned

Dec 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Linus Adah Wodi, M.D.

Title

Owner

Phone

(706) 883-7341

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1407091887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEDICAL DR",
            "address_2": "SUITE 506",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404144",
            "telephone_number": "706-883-7341",
            "fax_number": "706-883-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDICAL DR",
            "address_2": "SUITE 506",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404144",
            "telephone_number": "706-883-7341",
            "fax_number": "706-883-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE CARDIOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "WODI",
        "authorized_official_first_name": "LINUS",
        "authorized_official_middle_name": "ADAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-883-7341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "061683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Nichole Lacey, PT
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• Lagrange Care Center LLC
• Lagrange Clinic of Chiropractic Incorporated
• Lagrange College
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• Lagrange Eye, LLC

• Cardiovascular Disease Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.