Individual
MRS. LAURA HERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 AUSTIN DR, DEMOREST, GA 30535-4508
(706) 839-4092
(706) 839-1970
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(706) 839-1970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79503
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
79503
GA
261QP2300X
Primary Care Clinic/Center
079503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204528A
—
GA
Enumeration date
04/15/2009
Last updated
04/14/2025
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