Individual
LATRICE NICOLE ROCKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2804 N OAK ST, VALDOSTA, GA 31602-5914
(229) 241-8925
Mailing address
2804 N OAK ST, VALDOSTA, GA 31602-5914
(229) 241-8925
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
RN274529
GA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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