Individual
DR. LAURA L THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 DOCTORS DR, SUITE 204, DOUGLAS, GA 31533-2210
(912) 383-6575
(912) 383-6476
Mailing address
100 DOCTORS DR STE I, DOUGLAS, GA 31533-2211
(912) 383-6575
(912) 383-6476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
072142
GA
207X00000X
Orthopaedic Surgery Physician
Primary
LL30061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148201A
—
GA
01
—
072142
MEDICAL LICENSE
GA
Enumeration date
06/29/2007
Last updated
04/27/2019
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