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Latisha Graham
Adult Health Nurse Practitioner in Buford, Georgia
NPI 1780052555

Latisha Graham is an Adult Health Nurse Practitioner based in Buford, GA and is specialized in Adult Health. Latisha Graham practices in Buford, GA. The NPI Number for Latisha Graham is 1780052555 and holds a License No. A0615004 (Georgia).

The current practice location address for Latisha Graham is 3188 Sag Harbor Ct, Buford, GA and can be reached out via phone at 973-220-5388.

Location: 3188 Sag Harbor Ct, Buford, GA, 30519-8604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780052555
Provider Name
Latisha Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3188 Sag Harbor Ct, Buford, GA, 30519-8604
Phone Number
973-220-5388
Fax Number
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3188 Sag Harbor Ct
City
Buford
State
Georgia
Zip
30519-8604
Phone Number
973-220-5388
Fax Number
person
Provider Business Mailing Address Details
Address
3188 Sag Harbor Ct
City
Buford
State
Georgia
Zip
30519-8604
Phone Number
973-220-5388
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
RN212577 (Georgia)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
A0615004 (Georgia)
Definition
Definition to come...
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