# MALLORY A LAWRENCE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mallory A Lawrence, MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861004871
- **Authorized official:** JENNIFER C FINLEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (706) 724-5451

## Contact information

- **Practice address:** 1430 HARPER ST STE B, AUGUSTA, GA 30901-0619
- **Practice address phone:** (706) 724-5451
- **Mailing address:** 1430 HARPER ST STE B, AUGUSTA, GA 30901-0619
- **Mailing address phone:** (706) 724-5451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2020
- **Last updated:** 08/20/2020
