Individual
LATANYA DENISE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3475 CARRIAGE CHASE RD, ATLANTA, GA 30349-3697
(586) 770-3512
Mailing address
3475 CARRIAGE CHASE RD, ATLANTA, GA 30349-3697
(586) 770-3512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP315226
GA
Other
Enumeration date
09/15/2025
Last updated
10/24/2025
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