Search › Georgia › 101Y00000X
Latasha Dudley, BBA, M. ED
NPI 1386936631 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3275 Hunting Creek Pass
Douglasville, GA 30135 - Phone
- (678) 927-5159
- Fax
- (770) 726-9645
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YS0200X
171M00000X
225C00000X
225CA2400X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia