MR. Lawrence Robert Deardurff III, PA

NPI #1063817328 in Marietta, Georgia

Provider Information

NPI Number: 1063817328
Entity Type: Individual
Name: MR. Lawrence Robert Deardurff III, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 29, 2014
Last Updated: Sep 6, 2023

Practice Location

Address: 677 CHURCH ST NE
City: Marietta
State: Georgia
ZIP Code: 30060-1101
Phone: (770) 793-7750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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