Individual
MR. LAWRENCE F KIRK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HIGHWAY 49 SOUTH, BYRON, GA 31008-6937
(478) 956-2648
(478) 956-4080
Mailing address
200 HIGHWAY 49 SOUTH, BYRON, GA 31008-6937
(478) 956-2648
(478) 956-4080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000772021J
—
GA
01
—
P00300958
RAILROAD MEDICARE
GA
Enumeration date
09/15/2005
Last updated
11/02/2012
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