Individual
MRS. LAURA MICHELLE MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017325
IL
363L00000X
Nurse Practitioner
Primary
RN309068
GA
363LA2100X
Acute Care Nurse Practitioner
AP07503
LA
Other
Enumeration date
08/01/2013
Last updated
08/11/2022
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