Individual
JERLENE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
(706) 886-6841
(706) 282-4460
Mailing address
1600 E BOGGS MOUNTAIN RD, TIGER, GA 30576-2903
(706) 782-6526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN161643
GA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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