Doctor Name: | DR. LAURA RIVERS PEARSON |
NPI Number: | 1366461162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 059950 |
Business Practice Address: | 2500 Hospital Blvd Suite 410 Roswell, GA - 300764907 |
Business Phone Number: | 6783930013 |
Business Fax Number: | 6783930310 |
Mailing Address: | 5115 New Peachtree Rd, Suite 202 CHAMBLEE |
State: | GA |
Postal Code: | 303413326 |
Phone Number: | 6783365951 |
Fax Number: | 6783365955 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 059950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |