Individual
LATISHIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 358-5252
(770) 898-7412
Mailing address
202 PINEVIEW DR, THOMASTON, GA 30286-2309
(706) 975-9655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092595
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2199LK
BCBS
GA
Enumeration date
02/09/2021
Last updated
02/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us