Hudson-Yedvobnick, Laura Lynn

Hudson-Yedvobnick, Laura Lynn is an individual health care provider with primary practice located at 5405 Memorial Dr Ste D , Stone Mountain GA 30083-3236. 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. Hudson-Yedvobnick, Laura Lynn can be contacted via phone (404) 296-3800.

Contact Information

Primary practice address
5405 Memorial Dr Ste D Stone Mountain GA 30083-3236
Phone: (404) 296-3800
Fax: (404) 296-8753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002474 Georgia

Profile Details

NPI number 1861526030
LBN Legal business name Hudson-Yedvobnick, Laura Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Sep 29th, 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 1861526030 NPPES
Georgia MEDICAID 100000148C

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