DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS FLORTASHA LARAY PULLOM FNP-BC

MEDICARE: MISS FLORTASHA LARAY PULLOM FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianRN331904GA
2207Q00000XFamily Medicine Physician2018017288OR
3363LF0000XFamily Nurse PractitionerAPRN-NP331904GA
4163W00000XRegistered Nurse201141801RNOR

General Provider Information

NPI Number : 1043559529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FLORTASHA LARAY PULLOM FNP-BC
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 1825 ROCKBRIDGE RD STE 15B
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-3306
Country : US
Telephone Number : 470-444-3134
Fax Number : 470-276-4370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2013
Last Update Date : 03/31/2026

Similar Medicare Providers

1033581350 — MS. KENISHA FRANCISCO APRN
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370
1841511797 — JOSE M DONATIEN MD
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370
1942592787 — FRENY SHAH M.D.
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370
1598197667 — KATHY PETRIE ANP
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370
1790197283 — MS. VIVIAN GAINES-THOMPSON N.P.
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370
1538559190 — MIRA DESAI AGPCNP
Practice Location Address:
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA
30087-3306
Practice Phone: 470-444-3134
Practice Fax: 470-276-4370

Directions to “ MISS FLORTASHA LARAY PULLOM FNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.