Latresia Fair, RN - Registered Nurse in Conyers, GA

Latresia Fair, RN is a Registered Nurse - Infusion Therapy based in Conyers, Georgia. Latresia Fair is licensed to practice in Georgia (license number 262012) and her current practice location is 1303 Parker Rd Se, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (786) 351-9340.

NPI number for Latresia Fair is 1902488778 and her current mailing address is 4240 Lindsey Way, Conyers, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902488778.

Contact Information

Latresia Fair, RN
1303 Parker Rd Se,
Conyers, GA 30094-5984
(786) 351-9340
Not Available

Map and Direction




Provider's Profile

Full NameLatresia Fair
GenderFemale
SpecialityRegistered Nurse - Infusion Therapy
Location1303 Parker Rd Se, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902488778
  • Provider Enumeration Date: 04/22/2021
  • Last Update Date: 04/22/2021

Medical Identifiers

Medical identifiers for Latresia Fair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902488778NPI-NPPES
863208181OtherGAINSURANCE COMPANIES
863208181MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 262012 (Georgia)Secondary
163WH0200XRegistered Nurse - Home Health 262012 (Georgia)Secondary
163WI0500XRegistered Nurse - Infusion Therapy 262012 (Georgia)Primary
163W00000XRegistered Nurse 262012 (Georgia)Secondary

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. Latresia Fair 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 AddressPractice Location Address
Latresia Fair, RN
4240 Lindsey Way,
Conyers, GA 30013-4103

Ph: (786) 351-9340
Latresia Fair, RN
1303 Parker Rd Se,
Conyers, GA 30094-5984

Ph: (786) 351-9340

Reviews and Comments


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