Individual
EXIE LATRICE LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2738 N DECATUR RD, DECATUR, GA 30033-5910
(404) 508-8058
Mailing address
101 LONGLEAF DR, JACKSON, GA 30233-5004
(770) 597-6862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN181187
GA
Other
Enumeration date
04/01/2015
Last updated
09/21/2018
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