Individual
LAWRENCE A. BIRCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
487 WINN WAY, SUITE 100, DECATUR, GA 30030-1735
(770) 491-3003
(770) 491-0729
Mailing address
487 WINN WAY, SUITE 100, DECATUR, GA 30030-1735
(770) 491-3003
(770) 491-0729
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553902E
—
GA
05
—
000553902F
—
GA
05
—
000553902G
—
GA
Enumeration date
10/04/2005
Last updated
08/13/2014
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