Individual
REBECA C KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
631 PROFESSIONAL DR, SUITE 450, LAWRENCEVILLE, GA 30046-3367
(770) 963-8030
(678) 533-1575
Mailing address
1700 TREE LN, SUITE 490, SNELLVILLE, GA 30078-6782
(770) 963-8030
(678) 533-1575
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN212534
GA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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