Individual
LAURA HALLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11525 HAYNES BRIDGE RD STE 200, ALPHARETTA, GA 30009-4822
(770) 751-0800
(770) 751-7198
Mailing address
11525 HAYNES BRIDGE RD STE 200, ALPHARETTA, GA 30009-4822
(770) 751-7198
(770) 751-0800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104266
GA
208000000X
Pediatrics Physician
LL87955
SC
Other
Enumeration date
03/30/2022
Last updated
09/24/2025
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