Individual
ASIA KARENINA DESLATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(706) 278-4640
(706) 275-6599
Mailing address
105 JW PLAZA DR SE STE 1, CALHOUN, GA 30701-1503
(706) 383-5622
(833) 884-0475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228451
GA
Other
Enumeration date
01/07/2019
Last updated
10/25/2021
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