Individual
LAUREN MULLINAX MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-6744
Mailing address
525 EDGECLIFF LN, EVANS, GA 30809-6427
(706) 877-6608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
11/07/2023
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