Most Relevant Information
Provider Data
| NPI Number: | 1003453507 |
| Provider Name: | LATANJA RENEE BATEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2019 |
| Last Updated: | 12/03/2019 |
Provider Practice Location
415 N JACKSON ST
AMERICUS
GA
317093015
Practice Location Phone/Fax
| Phone: | 2299316988 |
| Fax: |
Provider Mailing Location
415 N JACKSON ST
AMERICUS
GA
317093015
Provider Mailing Phone/Fax
| Phone: | 2298156445 |
| Fax: |