Individual
LAURA JEAN SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2739
(770) 439-1426
(770) 943-2550
Mailing address
1801 NATHAN DEAN BYP, ROCKMART, GA 30153-2019
(678) 685-5003
(770) 684-7693
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019641200001
—
PA
Enumeration date
09/27/2006
Last updated
07/03/2024
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