Individual
DOUGLAS ROSS LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 291-1754
(706) 291-2227
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
021737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206665D
—
GA
05
—
000206665I
—
GA
Enumeration date
12/15/2006
Last updated
12/31/2009
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