Individual
MRS. LAURIE BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3645 HOWELL FERRY ROAD, DULUTH, GA 30096
(678) 473-4738
Mailing address
3645 HOWELL FERRY RD, DULUTH, GA 30096-3179
(678) 473-4738
(678) 473-4739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42185
GA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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