Individual
DR. THERESA A B LAWRENCE-FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 PROFESSIONAL DR, SUITE 260, LAWRENCEVILLE, GA 30046-7651
(770) 822-1090
(770) 513-9735
Mailing address
600 PROFESSIONAL DR, SUITE 260, LAWRENCEVILLE, GA 30046-7651
(770) 822-1090
(770) 513-9735
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
021326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00228148B
—
GA
Enumeration date
05/02/2006
Last updated
06/25/2010
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