Individual
LAURA NICHOLS REGINBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041
(770) 844-3200
(770) 844-3227
Mailing address
1400 NORTHSIDE FORSYTH DR, SUITE 310, CUMMING, GA 30041-7668
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN200861
GA
Other
Enumeration date
06/13/2012
Last updated
08/16/2018
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