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Individual

DR. LAUREN WEST YANCEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
158 CLINIC AVENUE, CARROLLTON, GA 30117-4414
(770) 834-1008
Mailing address
158 CLINIC AVENUE, CARROLLTON, GA 30117-4414
(770) 834-1008

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003601
GA
207W00000X
Ophthalmology Physician
Primary
69463
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003132816A
GA
Enumeration date
06/23/2009
Last updated
06/21/2013
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