Individual
LAUREN ELAINE SPRADLEY OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 S LAUREL ST STE B, SPRINGFIELD, GA 31329-9273
(912) 812-1005
Mailing address
PO BOX 180, SPRINGFIELD, GA 31329-0180
(912) 655-5559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61140
TN
207R00000X
Internal Medicine Physician
86367
SC
207R00000X
Internal Medicine Physician
Primary
89578
GA
208000000X
Pediatrics Physician
61140
TN
208000000X
Pediatrics Physician
86367
SC
208000000X
Pediatrics Physician
89578
GA
Other
Enumeration date
08/28/2013
Last updated
11/08/2024
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