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Individual
DR. MALLORY ANDREW LAWRENCE
Active
Individual
DR. MALLORY ANDREW LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
026578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399517A
—
GA
01
—
1621144003
CIGNA
GA
01
—
1621144004
CIGNA HMO
GA
01
—
2089751
AETNA HMO
GA
01
—
4140381
AETNA
GA
05
—
G26578
—
SC
Enumeration date
10/23/2006
Last updated
02/15/2010
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