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Individual

DR. SAMUEL SHELBY MCLAURIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 390-1067
Mailing address
3396 OSBORNE PL, MACON, GA 31204-1902
(478) 390-1067

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
80091
GA
207L00000X
Anesthesiology Physician
MMD.35659LL
SC

Other

Enumeration date
12/01/2009
Last updated
10/17/2018
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