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General NPI Number Information
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NPI Number | 1477945673
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Entity Type | Individual
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Provider Name | LAURA STOVER MCGREW FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2406 LIGHTHOUSE MANOR DR
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City | GAINESVILLE
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State | GA
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Zip | 30501-7401
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Country | US
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Telephone | 770-536-4352
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Fax |
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Provider Business Mailing Address
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Address Line | 532 VIRGINIA AVE
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City | JEFFERSON
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State | GA
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Zip | 30549-7299
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Country | US
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Telephone | 404-664-6962
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN192013
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License Number State | GA
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