MEDICARE: MS. LAURA SEARCY M.N, APRN-BC

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	363L00000X	Nurse Practitioner	RN055005	GU

General Provider Information

NPI Number	:	1730178823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA SEARCY M.N, APRN-BC

Provider Business Mailing Address
First Line	:	5041 DALLAS HWY
Second Line	:	BUILDING 2 SUITE D
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6458
Country	:	US
Telephone Number	:	770-425-5331
Fax Number	:	770-425-0799

Provider Business Practice Location Address
First Line	:	5041 DALLAS HWY
Second Line	:	BUILDING 2, SUITE D
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6458
Country	:	US
Telephone Number	:	770-425-5331
Fax Number	:	770-425-5799

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	04/05/2011

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