Provider Demographics
NPI:1790269579
Name:HOLCOMB, LAUREN ERIN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ERIN
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:365 BIG BEND TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5690
Mailing Address - Country:US
Mailing Address - Phone:708-752-5713
Mailing Address - Fax:
Practice Address - Street 1:20 GLENLAKE PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3473
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2022-01-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant