Individual
MRS. LAURIE ELLEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
707 WHITLOCK AVE SW STE A36, MARIETTA, GA 30064-4654
(770) 427-3033
(770) 427-3035
Mailing address
707 WHITLOCK AVE SW STE A36, MARIETTA, GA 30064-4654
(770) 427-3033
(770) 427-3035
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000817847E
—
GA
Enumeration date
09/16/2006
Last updated
02/20/2013
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