Individual
DR. LATAVIA HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
495 LORY LN, GROVETOWN, GA 30813-6104
(706) 466-0703
Mailing address
495 LORY LN, GROVETOWN, GA 30813-6104
(706) 466-0703
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN210440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN210440
STATE BOARD OF NURSING GA
GA
Enumeration date
06/12/2019
Last updated
06/12/2019
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