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Individual

DR. LATARA V DEMPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BALTIMORE PLACE NW, SUITE 360, ATLANTA, GA 30308
(404) 815-7951
(404) 815-7953
Mailing address
1 BALTIMORE PLACE NW, SUITE 360, ATLANTA, GA 30308
(404) 815-7951
(404) 815-7953

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053131
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
984520065A
GA
Enumeration date
08/08/2006
Last updated
08/04/2008
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