Individual
LAURA CHESHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, HB 64, MACON, GA 31201-2102
(478) 633-2097
(478) 633-7836
Mailing address
170 HICKORY PT, BUCKHEAD, GA 30625-2900
(706) 485-5129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984039132A
—
GA
Enumeration date
08/08/2006
Last updated
06/25/2008
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