Latoya Pulliam Bexley
Nurse Practitioner - Family Medicine
410 Dixie St
Carrollton
, Georgia 30117-3922
Latoya Pulliam Bexley
Nurse Practitioner - Family Medicine
410 Dixie St
Carrollton
, Georgia 30117-3922
(770) 562-8953
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Latoya Pulliam Bexley
- 122 Zachary Dr
- Carrollton, GA
- Zip : 30117-8608
- Phone : (770) 562-8953
Second Address
- Latoya Pulliam Bexley
- 410 Dixie St
- Carrollton, GA
- Zip : 30117-3922
- Fax : (770) 836-8477
- Phone : (678) 796-0681
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN159472 NP | GA |
National Provider Identifier
| NPI | 1003190455 |
|---|---|
| Provider Name | Latoya Pulliam Bexley |
| First Address | Carrollton, GA 30117-8608 |
| Second Address | Carrollton, GA 30117-3922 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2011 |
| Last Update Date | 10/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.