MEDICARE: LAURA FRANTZ PUTNAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	031651	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	302586	OTHER	GA	WELLCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10032980	OTHER	GA	AMERIGROUP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	6980458	OTHER	GA	CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2063542	OTHER	GA	AETNA HMO
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1202904	OTHER	GA	UNITED HEALTHCARE
12	302569	OTHER	GA	WELLCARE
13	302572	OTHER	GA	WELLCARE
14	302565	OTHER	GA	WELLCARE
15	4216197	OTHER	GA	AETNA PPO
16	52660376	OTHER	GA	BCBS

General Provider Information

NPI Number	:	1013997444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FRANTZ PUTNAM MD

Provider Business Mailing Address
First Line	:	PO BOX 1060
Second Line	:
City	:	OAKWOOD
State	:	GA
Zip	:	30566-0018
Country	:	US
Telephone Number	:	770-718-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	4095 S LEE ST
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-3647
Country	:	US
Telephone Number	:	770-932-8519
Fax Number	:	770-533-4798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	02/04/2026

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Directions to “ LAURA FRANTZ PUTNAM MD” Practice Location

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