Latasha Nicole Temple, ATC
NPI #1477830180 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1477830180
- Entity Type
- Individual
- Name
- Latasha Nicole Temple, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 8, 2011
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 1975 HIGHWAY 54 W
- Address 2
- SUITE 210
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-4794
- Phone
- (770) 632-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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