Latasha Burgess in Fairburn - Family Medicine

Latasha Burgess - NPI 1639240765

Latasha Burgess is a Family Medicine in Fairburn, Georgia. Latasha Burgess practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Latasha Burgess is 1639240765. The last update date is 2021-09-07.

Latasha Burgess's current location address is 277 Ne Broad St, Fairburn, Georgia. You can contact this provider via phone number 7708927802 and fax number 7708927961. The mailing address for Latasha Burgess is 277 Ne Broad St, Fairburn, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Latasha Burgess
Address 277 Ne Broad St, Fairburn, Georgia
Phone Number 7708927802
Fax Number 7708927961
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639240765
Provider Enumeration Date 2006-11-12
Last Updated Date 2021-09-07

Provider Mailing Address Detail

Address 277 Ne Broad St
City Fairburn
State Georgia (GA)
Post Code 302131474
Phone Number 7708927802
Fax Number 7708927961

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 49877
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000915846D GA --

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FAQs about Latasha Burgess

What is the unique identifier code issued to Latasha Burgess by the Centers for Medicare & Medicaid Services (CMS)?

The Latasha Burgess has been assigned the NPI (National Provider Identifier) 1639240765. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Latasha Burgess is physically located?

The Latasha Burgess is situated at the following address: 277 Ne Broad St, Fairburn, GA 302131474.

What is the Latasha Burgess's specialty and taxonomy code?

The Latasha Burgess's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639240765 to Latasha Burgess?

The Centers for Medicare & Medicaid Services assigned the 1639240765 to Latasha Burgess on 2006-11-12.

As of what date were the details pertaining to Latasha Burgess last refreshed?

The information related to the Latasha Burgess, including its address, specialty, and other relevant details, was last updated on 2021-09-07.

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