Individual
DEANNACA LATESE GOLATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1035 SOUTHCREST DR STE 200, STOCKBRIDGE, GA 30281-6116
(770) 716-7999
Mailing address
2866 JOHNSON FERRY RD STE 200, MARIETTA, GA 30062-8349
(678) 528-2123
(770) 513-4408
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN253416
GA
363LG0600X
Gerontology Nurse Practitioner
RN253416
GA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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