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Individual

LATRENDA S PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
105 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277-3680
(678) 633-3260
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
(706) 845-3194

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
76650
GA
207R00000X
Internal Medicine Physician
Primary
76650
GA
207R00000X
Internal Medicine Physician
OTO15170
PA

Other

Enumeration date
05/18/2013
Last updated
01/07/2025
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