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Individual

LATASHA WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
104 WHITEHAVEN RD, SAVANNAH, GA 31407-4809
(912) 677-2533
Mailing address
104 WHITEHAVEN RD, SAVANNAH, GA 31407-4809

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
CO121589
GA
1744P3200X
Prosthetics Case Management
Primary
COL001713
GA

Other

Enumeration date
02/13/2017
Last updated
02/13/2017
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