Individual
MRS. LAURA SHORES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
508 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 551-0089
(229) 228-1241
Mailing address
508 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 551-0089
(229) 228-1241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
06/14/2006
Last updated
07/09/2007
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