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Search › Georgia › 164W00000X

Latore Williams

NPI 1265829824 · on the registry since 2015 · sole proprietor

Practice

Address
5300 Ridge Forest Drive
Stone Mountain, GA 30083
Phone
(404) 399-7713
Organisation at this address
Raymond
Latore Williams
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia