Individual
LATONYA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(866) 389-7272
Mailing address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(866) 389-7272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN106852
GA
Other
Enumeration date
01/14/2019
Last updated
05/11/2021
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