Individual
DR. JAMES LAWRENCE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 236-4950
Mailing address
9 HALEY DR SE, ROME, GA 30161-6027
(609) 420-6658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78990
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255710588
—
GA
Enumeration date
05/19/2015
Last updated
09/11/2018
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