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Individual

DR. LATASHA L BOGUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-9850
(404) 785-9828
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
(404) 756-1400

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65997
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003110586A
GA
Enumeration date
07/29/2008
Last updated
10/22/2018
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