Provider Demographics
NPI:1760476527
Name:GARVEY, LAURA C (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:C
Last Name:GARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6335 HOSPITAL PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1551
Mailing Address - Country:US
Mailing Address - Phone:770-367-0122
Mailing Address - Fax:770-497-6047
Practice Address - Street 1:6335 HOSPITAL PKWY STE 203
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1551
Practice Address - Country:US
Practice Address - Phone:770-367-0122
Practice Address - Fax:770-497-6047
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA495362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00915087AMedicaid
GAH39827Medicare UPIN
GA00915087AMedicaid