Search › Georgia › 363A00000X
Latasha Gray, PA-C
NPI 1740507730 · on the registry since 2010
Practice
- Address
- 650 North Ave Ne # S204
Atlanta, GA 30308 - Phone
- (404) 504-6554
Additional practice sites
- 1061 Harmon Avenue, Fort Stewart, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-02
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