Individual
LAUREN CERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 793-7635
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 793-7635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007751
VA
363A00000X
Physician Assistant
Primary
11125
GA
Other
Enumeration date
02/04/2021
Last updated
02/20/2023
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