LAURA J BANNER

NORTHEAST GEORGIA PHYSICIANS GROUP INC

Dr LAURA J BANNER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.

Contact

NORTHEAST GEORGIA PHYSICIANS GROUP INC

950 S ENOTA DR NE
SUITE B
GAINESVILLE
GA
305012439

Tel: 7705310530

LAURA J BANNER Information

Npi 1013292382
Pac Id 0244404127
Professional Enrollment Id I20111111000369
Last Name BANNER
First Name LAURA
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEAST GEORGIA PHYSICIANS GROUP INC
Group Practice Pac Id 6901898386
Number Of Group Practice Members 401
Line 1 Street Address 950 S ENOTA DR NE
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City GAINESVILLE
State GA
Zip Code 305012439
Phone Number 7705310530
Hospital Affiliation Ccn 1 110029
Hospital Affiliation Lbn 1 NORTHEAST GEORGIA MEDICAL CENTER, INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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