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Individual

MRS. LAURIE FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
WHEELER CORRECTIONAL FACILITY- MEDICAL DEPARTMENT, 195 N. BROAD STREET, ALAMO, GA 30411
(912) 568-1731
(912) 568-1701
Mailing address
WHEELER CORRECTIONAL FACILITY- MEDICAL DEPARTMENT, 195 N. BROAD STREET, ALAMO, GA 30411
(912) 568-1731
(912) 568-1701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1592
GA
363A00000X
Physician Assistant
PA9109046
FL

Other

Enumeration date
08/16/2019
Last updated
08/16/2019
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