Office Location
The Doctor's Centre at Northside Hospital
960 Johnson Ferry Road
Suite 120
Atlanta, Georgia 30342

Get Directions

Phone: 404-303-7004
Fax: 404-303-7020

Fax Forms
Step 1.-Click on Form Below
Step 2.-Print Page and Fill Out
Step 3.-Fax Us 404-303-7020

1. Patient Information
2. Patient History Form
3. Patient Consent Form
4. Payment Policy Form

Insurance
We currently participate with the following insurance companies:
Aetna (all products)
BCBS (All Products)
Coventry
CCN
Great West
Humana
NovaNet
PHCS
Principal
Southcare
United HealthCare (All products)

If you do not see your insurance listed, please contact your carrier for further information
.


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Home | Credentials | Face | Body | Breast | Skin | Testimonials | Contact
Marisa Lawrence, M.D., Board Certified Plastic Surgeon
960 Johnson Ferry Road NE - Suite 120 | Atlanta, Ga 30342 | Phone: 404-303-7004