Individual
LATOYA BARBEE CHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
(678) 843-8601
Mailing address
317 BREEZEWOOD COURT, STOCKBRIDGE, GA 30281
(678) 557-0774
(678) 843-8601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801628040C
—
GA
Enumeration date
05/03/2007
Last updated
09/26/2016
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