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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATAYIA R NEGOU

Active Sole Proprietor

LATAYIA R NEGOU is a 202C00000X healthcare provider located in VILLA RICA, Georgia. NPI 1255021051 is currently active in the NPPES registry. Verify at CMS.

202C00000X · VILLA RICA, GA

Registration Details

NPI Number
1255021051
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2023 (3.2773551970274 yrs)
Last Updated
May 15, 2023
License
$$$$$$$$$ (GA)
Sole Proprietor
Yes

Practice Information

Address
209 E WILSON ST APT 8
VILLA RICA, GA, 301802779
Browse GA providers · Browse ZIP 30180
Phone
4704068259
Primary Specialty
202C00000X
202C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.