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Individual

DR. LATASHA STALLWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1554 N DECATUR RD NE, ATLANTA, GA 30307-1016
(404) 373-4534
Mailing address
1554 N DECATUR RD NE, ATLANTA, GA 30307-1016
(404) 373-4534

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH26521
GA

Other

Enumeration date
11/30/2020
Last updated
04/07/2026
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