Individual
MS. LAUREN KIMBERLY OBLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 PROFESSIONAL PKWY STE A, AUGUSTA, GA 30907-6532
(706) 855-2767
(706) 855-7077
Mailing address
2084 MAGNOLIA PKWY, GROVETOWN, GA 30813-3087
(706) 836-8845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005477
GA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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