Individual
LAURA TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, HOSPITAL BOX 64, MACON, GA 31201-2102
(478) 633-2097
(478) 633-7836
Mailing address
307 TRICE RD, MILNER, GA 30257-3423
(770) 228-5878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN066916
GA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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