Individual
MRS. LATASHA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 N ZACK HINTON PKWY, MCDONOUGH, GA 30253-2317
(770) 507-0576
Mailing address
2 N ZACK HINTON PKWY, MCDONOUGH, GA 30253-2317
(770) 957-2984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN202145
GA
Other
Enumeration date
05/09/2016
Last updated
01/25/2019
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