Graham, Latisha

Graham, Latisha is an sole proprietor health care provider with primary practice located at 3188 Sag Harbor Ct , Buford GA 30519-8604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Graham, Latisha can be contacted via phone (973) 220-5388.

Contact Information

Primary practice address
3188 Sag Harbor Ct Buford GA 30519-8604
Phone: (973) 220-5388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A0615004 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN212577 Georgia

Profile Details

NPI number 1780052555
LBN Legal business name Graham, Latisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2015
Last updated Sep 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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