Individual
MRS. LAUREN MASSEY LARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1111 BULLSBORO DR, SUITE 3, NEWNAN, GA 30265-2182
(770) 251-7284
(770) 251-7295
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008415
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
11/19/2010
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