Individual
DR. LATAURA ATWELL-SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
144 BILL CARRUTH PKWY STE 2200, HIRAM, GA 30141-3827
(470) 956-4250
(770) 999-2761
Mailing address
144 BILL CARRUTH PKWY STE 2200, HIRAM, GA 30141-3827
(470) 956-4250
(770) 999-2761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96679
GA
207Q00000X
Family Medicine Physician
ME111325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006339100
—
FL
Enumeration date
07/05/2012
Last updated
09/06/2023
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