NPI 1003192436

Lauren a Jernigan, PAC

Practitioner Medical Physician Assistant Newnan, GA

Practice location

Address: 10 Market Square Way Suite 100, Newnan, GA 30265
Phone: (678) 423-5560
Fax: (678) 423-5563
Mailing address: 10 Market Square Way Suite 100, Newnan, GA 30265-6078

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 006233 (GA)

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Registry record

NPI: 1003192436
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2011
Record last updated: 28 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.