Individual
LATRENDA S PERKINS
Active
Individual
LATRENDA S PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
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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