Individual
LOUIS LATAIF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 JOHN MADDOX DR NW, ROME, GA 30165-1413
(706) 295-3992
(706) 378-5582
Mailing address
11 JOHN MADDOX DR NW, ROME, GA 30165-1413
(706) 295-3992
(706) 378-5582
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708947B
—
GA
Enumeration date
04/12/2006
Last updated
03/07/2017
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