Individual provider · NPI-1

Latonia Melissa Collier, NP

Nurse Practitioner, Family · Stockbridge, GA

NPI number1366951741
StatusActive
Last updated in NPPESDec 1, 2023

Details

NPI
1366951741
Entity type
Individual (NPI-1)
Name
Latonia Melissa Collier
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2017
Certification date
Dec 1, 2023
Last updated
Dec 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN206622GAYes
207Q00000X Family MedicineRN206622GA

Other names

  • Latonia Melissa Collier (Professional Name)

Practice location

1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000

Phone 404-948-3019

Mailing address

Po Box 1271
Fairburn, GA 30213-8004

Phone 404-642-9854

Other practice locations

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Phone 404-851-8000

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