Provider Demographics
NPI:1497513006
Name:LGA MANAGEMENT CO.
Entity Type:Organization
Organization Name:LGA MANAGEMENT CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-900-3332
Mailing Address - Street 1:181 PONTIAC BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-9171
Mailing Address - Country:US
Mailing Address - Phone:803-900-3317
Mailing Address - Fax:
Practice Address - Street 1:181 PONTIAC BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-9171
Practice Address - Country:US
Practice Address - Phone:803-900-3317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty