Individual
DR. LAUREN S NAGASHIMA-WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
728 COBB ST, ATHENS, GA 30606-2942
(706) 548-3109
(706) 543-4439
Mailing address
728 COBB ST, ATHENS, GA 30606-2942
(706) 548-3109
(706) 543-4439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
060776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437298957
GROUP NPI
GA
05
—
457017490A
—
GA
01
—
513522
WELLCARE
GA
Enumeration date
04/08/2006
Last updated
12/02/2014
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