Organization
DORCUS HEALTHCARE SERVICES LLC
Active
Other names
Dorcus Healthcare Services ,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA D TRIPLET AGNP-C (NURSE PRATITIONER)
(757) 842-3824
Entity
Organization
Contact information
Practice address
105 GREYSTONE DR, GUYTON, GA 31312-5548
(757) 842-3824
Mailing address
105 GREYSTONE DR, GUYTON, GA 31312-5548
(757) 842-3824
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-442501
INTERNAL REVENUE SERVICES
GA
Enumeration date
04/17/2019
Last updated
10/28/2019
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