Individual
LAURA SUSAN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(470) 490-6670
Mailing address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(470) 490-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000548A
IN
363A00000X
Physician Assistant
Primary
12304
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009871
—
IN
Enumeration date
06/14/2006
Last updated
05/03/2026
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