Individual
LATOYA JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 753-5266
Mailing address
3371 BUFORD HWY NE, BROOKHAVEN, GA 30329-1709
(404) 836-0230
(305) 698-6536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76289
GA
207Q00000X
Family Medicine Physician
LL35942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76289
GA PROVIDER LICENSE- MD
GA
Enumeration date
06/19/2013
Last updated
10/07/2019
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