Search › Georgia › 103TH0100X
Latisha Brown
NPI 1528703980 · on the registry since 2022 · sole proprietor
Practice
- Address
- 370 Fenbrook Way Sw # 30064
Marietta, GA 30064 - Phone
- (425) 465-8440
Registry record
- Primary taxonomy
- 103TH0100X
103TH0100X
- Also registered as
- 103TH0100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-30
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