Individual
ELOISA LLATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST., 9TH FLOOR MOT, ATLANTA, GA 30308
(404) 778-3401
(404) 686-4476
Mailing address
864 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3662
(404) 624-1044
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
53930
GA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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