Individual
LAUREN MARIE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
424 WIMBLEDON RD NE, ATLANTA, GA 30324-4825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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