Latisha Graham

NPI #1780052555 in Buford, Georgia

Provider Information

NPI Number
1780052555
Entity Type
Individual
Name
Latisha Graham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Sep 9, 2015
Last Updated
Sep 25, 2015

Practice Location

Address
3188 SAG HARBOR CT
City
Buford
State
Georgia
ZIP Code
30519-8604
Phone
(973) 220-5388

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine
Nurse Practitioner - Adult HealthAdult Health

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