Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LAWRENCE ROBERT DEARDURFF III, PA
Active Sole ProprietorMR. LAWRENCE ROBERT DEARDURFF III, PA is a Physician Assistant healthcare provider located in MARIETTA, Georgia. NPI 1063817328 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARIETTA, GA
Registration Details
- NPI Number
- 1063817328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2014 (11.791201860905 yrs)
- Last Updated
- Sep 6, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
677 CHURCH ST NEMARIETTA, GA, 300601101Browse GA providers · Browse ZIP 30060
- Phone
- 7707937750
- Fax
- 4709867142
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN WEBB MACKEY | PA-C | 1932104999 |
| MR. PETER JEFF HAIRSTON | PA-C | 1386633832 |
| MR. MICHAEL BRUCE TREMMEL | PA-C | 1962491100 |
| SUSAN HOLLANDER | PA-C | 1891770327 |
| MS. KIMBERLY JANFLONE | PA | 1457324543 |
| PRIYA S. VERMA | PA | 1619943420 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.