Individual
MISS THOMESHIA LATOY CAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041-6081
(770) 758-8964
(770) 292-6535
Mailing address
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041-6081
(770) 758-8964
(770) 292-6535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5752
GA
363A00000X
Physician Assistant
PA1049
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121190A
—
GA
Enumeration date
09/30/2008
Last updated
11/28/2023
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