| Doctor Name: | MS. LAURIE A. MCLEOD MCCALL |
| NPI Number: | 1184888448 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN093653NP |
| Business Practice Address: | 277 Lee Lewis Road Moultrie, GA - 317680551 |
| Business Phone Number: | 2295890272 |
| Business Fax Number: | |
| Mailing Address: | 277 Lee Lewis Road, MOULTRIE |
| State: | GA |
| Postal Code: | 317680551 |
| Phone Number: | 2295890272 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN093653NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |