Healthcare Provider Details

I. General information

NPI: 1326665183
Provider Name (Legal Business Name): BRITTANY S LATIMER RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2020
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 E HIGHWAY 166
BOWDON GA
30108-2401
US

IV. Provider business mailing address

1125 E HIGHWAY 166
BOWDON GA
30108-2401
US

V. Phone/Fax

Practice location:
  • Phone: 770-258-5424
  • Fax: 770-838-8980
Mailing address:
  • Phone: 770-258-5424
  • Fax: 770-838-8980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP191452
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: