Individual
MRS. JESSICA LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4000 VILLAGE VIEW DR, GAINESVILLE, GA 30506-4331
(678) 450-3030
Mailing address
5771 KANADY RD, MURRAYVILLE, GA 30564-1801
(706) 207-5567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002716
GA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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