Individual
LAUREL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 VETERAN'S PARKWAY SUITE #101, HINESVILLE, GA 31313
(912) 427-8433
(912) 427-9851
Mailing address
P.O. BOX 608, YULEE, FL 32041-0608
(904) 643-0574
(912) 427-9851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9280
GA
363AM0700X
Medical Physician Assistant
Primary
PA9111487
FL
Other
Enumeration date
07/15/2008
Last updated
05/09/2022
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