Individual
LAURA BORDEU PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 WHITCHER ST, SUITE 2100, MARIETTA, GA 30060
(770) 423-0595
Mailing address
100 STONEFOREST DR STE 130, WOODSTOCK, GA 30189-4881
(770) 423-0595
(678) 388-1627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7889
GA
363AS0400X
Surgical Physician Assistant
7889
GA
Other
Enumeration date
02/17/2016
Last updated
04/22/2020
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