Lathan Wyatt Overstreet in Atlanta - Specialist
Lathan Wyatt Overstreet - NPI 1568521052
Lathan Wyatt Overstreet is a Specialist in Atlanta, Georgia. Lathan Wyatt Overstreet practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lathan Wyatt Overstreet is 1568521052. The last update date is 2008-06-13.
Lathan Wyatt Overstreet's current location address is Po Box 42827, Atlanta, Georgia. You can contact this provider via phone number 4046997096 and fax number 4046999933. The mailing address for Lathan Wyatt Overstreet is Po Box 42827, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lathan Wyatt Overstreet |
|---|---|
| Address | Po Box 42827, Atlanta, Georgia |
| Phone Number | 4046997096 |
| Fax Number | 4046999933 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568521052 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | Po Box 42827 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303110827 |
| Phone Number | 4046997096 |
| Fax Number | 4046999933 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36659 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00646665C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lathan Wyatt Overstreet by the Centers for Medicare & Medicaid Services?
The Lathan Wyatt Overstreet has been assigned the NPI (National Provider Identifier) 1568521052 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lathan Wyatt Overstreet is physically located?
The Lathan Wyatt Overstreet is physically situated at the following address: Po Box 42827, Atlanta, GA, 303110827.
What is the Lathan Wyatt Overstreet's specialty and taxonomy code?
The Lathan Wyatt Overstreet's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Lathan Wyatt Overstreet's 1568521052 issued?
The Lathan Wyatt Overstreet's 1568521052 was issued on 2006-12-08.
When was the information pertaining to Lathan Wyatt Overstreet most recently updated or revised?
The details related to Lathan Wyatt Overstreet, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.