James, Latiesha Colise

James, Latiesha Colise is an individual health care provider with primary practice located at 2529 Terrace Trl , Decatur GA 30035-3514. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. James, Latiesha Colise can be contacted via phone (334) 947-7488.

Contact Information

Primary practice address
2529 Terrace Trl Decatur GA 30035-3514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Georgia
Other Service Providers / Contractor 171W00000X 171W00000X Georgia

Profile Details

NPI number 1821557265
LBN Legal business name James, Latiesha Colise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2019
Last updated Mar 15th, 2019 - about 5 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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