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Individual

ANDREW C LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
124 E JARMAN ST STE B, HAZLEHURST, GA 31539-6133
(912) 375-2009
(912) 379-0081
Mailing address
PO BOX 1005, HAZLEHURST, GA 31539-1005
(912) 375-2009
(912) 379-0081

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001434
GA

Other

Enumeration date
08/22/2007
Last updated
10/26/2015
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