Individual
MS. LAURA GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1100
Mailing address
PO BOX 189, TWIN CITY, GA 30471-0189
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024041294
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP333487
GA
Other
Enumeration date
11/27/2024
Last updated
10/14/2025
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