Individual
ANDREA DENISE LATIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2000
Mailing address
2002 PALMYRA RD STE 201, ALBANY, GA 31701-1593
(229) 312-5802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN193934
GA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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