Individual
MRS. LAKIETTA CULKIN-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4599 BELLEMEADE DR, DOUGLASVILLE, GA 30135-4924
(310) 292-6299
Mailing address
4599 BELLEMEADE DR, DOUGLASVILLE, GA 30135-4924
(310) 292-6299
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN22252
GA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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