OrganizationActive
Lake Medical Center
NPI 1366521395 · Rural Health Clinic/Center · Greensboro, GA
Provider details
- NPI number
- 1366521395
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Vidal, Ceo(706) 453-7331
- License
- PENDING (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1201 Siloam Rd
Greensboro, GA 30642-2811
Phone: (706) 453-7331
Fax: (706) 453-2812
Approximate (ZIP-level) locationGet directions
Mailing address
1201 Siloam Rd
Greensboro, GA 30642-2811
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.