Individual
NATHANIEL LATIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
608 WINZOR AVE, LAGRANGE, GA 30240-2166
(706) 333-0653
Mailing address
608 WINZOR AVE, LAGRANGE, GA 30240-2166
(706) 333-0653
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN278246
GA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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