Individual
LINDA YATAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 BELLEMEADE AVE NW, ATLANTA, GA 30318-3102
(678) 705-8166
Mailing address
652 BELLEMEADE AVE NW, ATLANTA, GA 30318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN255106
GA
Other
Enumeration date
12/07/2022
Last updated
01/11/2023
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