Individual
MR. WILLIE LEE LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
902 N 7TH ST # 100, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
PO BOX 408, ALBANY, GA 31702-0408
(706) 354-5770
(706) 354-5769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102042
GA
Other
Enumeration date
06/16/2010
Last updated
03/19/2021
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