Provider Demographics
NPI:1790841096
Name:LAWRENCE, NAJIA C (MD)
Entity type:Individual
Prefix:DR
First Name:NAJIA
Middle Name:C
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:900 TOWNE LAKE PKWY
Mailing Address - Street 2:STE 404
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188
Mailing Address - Country:US
Mailing Address - Phone:770-926-9229
Mailing Address - Fax:678-415-2164
Practice Address - Street 1:900 TOWNE LAKE PKWY
Practice Address - Street 2:STE 404
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:770-926-9229
Practice Address - Fax:678-415-2164
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2017-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA061475207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA723943664GMedicaid
GA723943664HMedicaid
GA202I165285Medicare PIN
GA511I160156Medicare PIN