Individual
JOHN LATREMOUILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2364
(706) 721-3871
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 631-3119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
104715
GA
207L00000X
Anesthesiology Physician
57.250502
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
06/24/2025
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