Individual
DR. LAURA D CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
070057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136474A
—
GA
05
—
3082962
—
TN
Enumeration date
04/27/2006
Last updated
09/10/2014
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