Individual
DR. MARIAM LABIB LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1865 LOCKEWAY DR STE 603, ALPHARETTA, GA 30004-5938
(770) 752-8440
(770) 752-8990
Mailing address
1865 LOCKEWAY DR STE 603, ALPHARETTA, GA 30004-5938
(770) 752-8440
(770) 752-8990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609816123
GEORGIA CLINIC, PC GROUP NPI #
—
05
—
471097851B
—
GA
05
—
471097851C
—
GA
Enumeration date
03/01/2006
Last updated
10/02/2012
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