Individual
LAUREN JANE PELKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1364 CLIFTON RD NE DEPT OF, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
415 SCARBOROUGH CT SE, ADA, MI 49301-9068
(616) 460-4725
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1871347047
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/15/2024
Last updated
04/29/2024
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