Latisha Graham, is a
Nurse Practitioner - Adult Health physician based in Buford, Georgia. Latisha Graham is licensed to practice in Georgia (license number RN212577) and her current practice location is 3188 Sag Harbor Ct, Buford, Georgia. She can be reached at her office (for appointments etc.) via phone at
(973) 220-5388.
NPI number for Latisha Graham is 1780052555 and her current mailing address is 3188 Sag Harbor Ct, Buford, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780052555.
Physician's Profile
Full Name | Latisha Graham |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 3188 Sag Harbor Ct, Buford, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780052555
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 09/25/2015
Medical Identifiers
Medical identifiers for Latisha Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780052555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | A0615004 (Georgia) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | RN212577 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latisha Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Latisha Graham, 3188 Sag Harbor Ct, Buford, GA 30519-8604 Ph: () - | Latisha Graham, 3188 Sag Harbor Ct, Buford, GA 30519-8604 Ph: (973) 220-5388 |
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