King, Latishia

King, Latishia is an individual health care provider with primary practice located at 139 Henry Pkwy , Mcdonough GA 30253-6636. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. King, Latishia can be contacted via phone (770) 358-5252.

Contact Information

Primary practice address
139 Henry Pkwy Mcdonough GA 30253-6636
Phone: (770) 358-5252
Fax: (770) 898-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN092595 Georgia

Profile Details

NPI number 1144812397
LBN Legal business name King, Latishia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144812397 NPPES
Georgia Other 2199LK BCBS

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