Individual
MRS. LATALYA LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1735 S HIGHWAY 27, CARROLLTON, GA 30117-8941
(678) 491-2817
Mailing address
1735 S HIGHWAY 27, CARROLLTON, GA 30117-8941
(678) 491-2817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN142821
GA
Other
Enumeration date
10/29/2014
Last updated
02/09/2019
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