Provider Demographics
NPI:1760476527
Name:GARVEY, LAURA C (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:C
Last Name:GARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 NORTH POINT PKWY.
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1171
Mailing Address - Country:US
Mailing Address - Phone:770-664-5713
Mailing Address - Fax:770-663-0080
Practice Address - Street 1:371 E PACES FERRY RD NE STE 630
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2372
Practice Address - Country:US
Practice Address - Phone:800-991-6117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA495362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00915087AMedicaid
GAH39827Medicare UPIN
GA00915087AMedicaid