OrganizationActive
Clarkholder Clinic PA
NPI 1962427971 · Health Maintenance Organization · Lagrange, GA
Provider details
- NPI number
- 1962427971
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lisa Keeter, Cbo Manager(706) 812-4206
- License
- 416 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
303 Smith St
Lagrange, GA 30240-2745
Phone: (706) 882-8831
Fax: (706) 812-4079
Approximate (ZIP-level) locationGet directions
Mailing address
303 Smith St
Lagrange, GA 30240-2745
Registry dates
- Enumerated
- 2006-07-12
- 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.