Individual
LAUREN BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 E HOSPITAL RD, FORT GORDON, GA 30905
(706) 787-9399
Mailing address
300 E HOSPITAL RD, FORT EISENHOWER, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16409
GA
Other
Enumeration date
03/28/2024
Last updated
11/13/2025
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