Individual
LAURA BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
922 MCDONOUGH RD, JACKSON, GA 30233-1522
(770) 775-7832
Mailing address
2158 HIGH FALLS RD, JACKSON, GA 30233-5368
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN213092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG12210118
AANPCB
—
Enumeration date
01/04/2022
Last updated
01/04/2022
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