Individual
ANTHONY LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 CHANDLER CTR, HARTWELL, GA 30643-7914
(706) 376-9852
(706) 376-1656
Mailing address
28 CHANDLER CTR, HARTWELL, GA 30643-7914
(706) 376-9852
(706) 376-1656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187604
MEDICAID
SC
01
—
805353909A
MEDICAID
GA
Enumeration date
06/14/2006
Last updated
04/27/2010
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