Latisha Graham, - Nurse Practitioner in Buford, GA

Latisha Graham, is a Nurse Practitioner - Adult Health physician based in Buford, Georgia. Latisha Graham is licensed to practice in Georgia (license number RN212577) and her current practice location is 3188 Sag Harbor Ct, Buford, Georgia. She can be reached at her office (for appointments etc.) via phone at (973) 220-5388.

NPI number for Latisha Graham is 1780052555 and her current mailing address is 3188 Sag Harbor Ct, Buford, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780052555.

Contact Information

Latisha Graham,
3188 Sag Harbor Ct,
Buford, GA 30519-8604
(973) 220-5388
Not Available



Physician's Profile

Full NameLatisha Graham
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location3188 Sag Harbor Ct, Buford, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780052555
  • Provider Enumeration Date: 09/09/2015
  • Last Update Date: 09/25/2015

Medical Identifiers

Medical identifiers for Latisha Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780052555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine A0615004 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN212577 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latisha Graham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latisha Graham,
3188 Sag Harbor Ct,
Buford, GA 30519-8604

Ph: () -
Latisha Graham,
3188 Sag Harbor Ct,
Buford, GA 30519-8604

Ph: (973) 220-5388

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