Individual
DR. KIRK D LATIBEAUDIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3495 PIEDMONT RD, ATLANTA, GA 30305
(404) 364-7076
Mailing address
4112 GLENRIDGE STRATFORD DR NE, ATLANTA, GA 30342-4918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026321
GA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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