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Individual

DR. MILANIEVA LATORRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Mailing address
180 MERCEDES TRL, FAYETTEVILLE, GA 30214-3700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038032
GA

Other

Enumeration date
12/04/2006
Last updated
09/10/2021
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