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Contact Information

LATASHA BURGESS, MD
800 E CHEVES ST STE 400
FLORENCE, SC29506-2649
 Phone: 843-777-7341
 Fax: 843-777-7345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LATASHA BURGESS · (Female)

NPI Number 1639240765
Status Active
Credentials MD
Entity Individual
Enumeration date 11/12/2006
Last updated 02/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 049877
  • SC License # 92875
  • GA Medicaid 000915846D
Hospital affiliation(s)
  • ATLANTA MEDICAL CENTER - (Acute Care)
    303 PARKWAY DR NE
    ATLANTA, GA 30312
  • PIEDMONT FAYETTE HOSPITAL - (Acute Care)
    1255 HIGHWAY 54 WEST
    FAYETTEVILLE, GA 30214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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