Latisha Graham, | |
3188 Sag Harbor Ct, Buford, GA 30519-8604 | |
(973) 220-5388 | |
Not Available |
Full Name | Latisha Graham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 3188 Sag Harbor Ct, Buford, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780052555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | A0615004 (Georgia) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | RN212577 (Georgia) | Primary |
Mailing Address | Practice 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 |
News Archive
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