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Contact Information

LATIFAT B ASEMOTA, FNP
410 NOTTINGHAM DR
MARIETTA, GA30066
 Phone: 678-401-8229
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LATIFAT B ASEMOTA · (Female)

NPI Number 1275918781
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/26/2015
Last updated 07/13/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 218849
  • GA License # RN218849
Hospital affiliation(s)
  • GRADY MEMORIAL HOSPITAL - (Acute Care)
    80 JESSE HILL, JR DRIVE SE
    ATLANTA, GA 30303
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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