Individual
LAUREN MOOMJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190584
PA
2085R0202X
Diagnostic Radiology Physician
0101251828
VA
2085R0202X
Diagnostic Radiology Physician
80618
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME112887
FL
Other
Enumeration date
06/25/2007
Last updated
02/19/2024
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