Individual
LAUREN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 HIGHWAY 34 E, NEWNAN, GA 30265-1327
(770) 502-0202
Mailing address
835 COGBURN AVE NW STE 250, MARIETTA, GA 30060-1056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
87387
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
07/13/2021
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