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Individual

LAURA B FLEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4849 PAULSEN ST STE 314, SAVANNAH, GA 31405-4426
(912) 354-3363
(912) 354-3332
Mailing address
4849 PAULSEN ST STE 314, SAVANNAH, GA 31405-4426
(912) 354-3363
(912) 354-3332

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005112
GA
363A00000X
Physician Assistant
1599
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1599
TEMPORARY PERMIT NUMBER
GA
05
532267996A
GA
01
97WCJXH
MEDICARE
GA
Enumeration date
08/01/2007
Last updated
08/11/2014
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