Individual
LAUREN COLEGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(404) 292-3810
Mailing address
106 LENOX WAY NE, ATLANTA, GA 30324-2826
(770) 639-5779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN217922
GA
Other
Enumeration date
09/09/2018
Last updated
05/23/2019
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