Dean, Laura

Dean, Laura is an individual health care provider with primary practice located at 105 Carnegie Pl Ste 103, Fayetteville GA 30214-3980. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Laura can be contacted via phone (770) 716-7999.

Contact Information

Primary practice address
105 Carnegie Pl Ste 103 Fayetteville GA 30214-3980
Phone: (770) 716-7999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1457434458
LBN Legal business name Dean, Laura
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Dec 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457434458 NPPES
Georgia Other P00964466 MEDICARE RAILROAD

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