Individual
DR. LAURA ALYCE MAKAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1850 E WEST CONNECTOR, UNIT 221, AUSTELL, GA 30106-1246
(404) 855-2246
Mailing address
1850 E WEST CONNECTOR, AUSTELL, GA 30106-1246
(404) 855-2246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43570
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33582548
—
CO
Enumeration date
10/04/2006
Last updated
03/31/2017
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