Individual
LATEIA NATRIECE GAMBLE MCGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1651 POWDER SPRINGS RD SW STE 6, MARIETTA, GA 30064-4847
(678) 492-8671
Mailing address
2400 BARRETT CREEK BLVD APT 921, MARIETTA, GA 30066-4965
(678) 492-8671
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO128967
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO128967
HAIR LOSS SPECIALIST
GA
Enumeration date
04/07/2019
Last updated
04/07/2019
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