Individual
MRS. LAUREN OLIVIA RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1057 WINDER HWY, JEFFERSON, GA 30549-6314
(706) 708-2277
Mailing address
390 SPINNER DR, JEFFERSON, GA 30549-6756
(678) 977-4429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
239315
GA
Other
Enumeration date
09/04/2019
Last updated
11/06/2024
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