Individual
LAUREN ECKERT PLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2283 WRIGHTSBORO RD, AUGUSTA, GA 30904-4717
(706) 733-3373
(706) 733-3370
Mailing address
2400 BELLEVUE RD, STE 21A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 328-0438
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
075228
GA
207N00000X
Dermatology Physician
39037
SC
207N00000X
Dermatology Physician
MD.204085
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08037090
—
MS
05
—
1795739
—
LA
Enumeration date
05/08/2009
Last updated
12/03/2019
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