# LAWRENCE KIRK MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942371158
- **Authorized official:** LAWRENCE F KIRK JR. (MD)
- **Authorized official phone:** (478) 956-2648

## Contact information

- **Practice address:** 200 GA HIGHWAY 49 S, BYRON, GA 31008-6937
- **Practice address phone:** (478) 956-2648
- **Mailing address:** PO BOX 26040, MACON, GA 31221-6040
- **Mailing address phone:** (478) 475-1299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 042072 | GA | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 12/17/2009