Provider Demographics
NPI:1225364599
Name:VEAL, LAURA HAYLEY (FNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:HAYLEY
Last Name:VEAL
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Mailing Address - Street 1:150 SCRANTON CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-0540
Mailing Address - Country:US
Mailing Address - Phone:912-262-2347
Mailing Address - Fax:912-262-3036
Practice Address - Street 1:106 SHOPPERS WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-0530
Practice Address - Country:US
Practice Address - Phone:912-275-8028
Practice Address - Fax:912-289-2085
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014318363LF0000X
NMCNP-01776363LF0000X
GARN253219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003170349BMedicaid