Latasha Mccracken, is a
Internal Medicine physician based in Dallas, Georgia. Latasha Mccracken is licensed to practice in Georgia (license number VET009613) and her current practice location is 6407 Stanbrough Ln, Dallas, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 628-2198.
NPI number for Latasha Mccracken is 1023852423 and her current mailing address is 6407 Stanbrough Ln, Dallas, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023852423.
Physician's Profile
| Full Name | Latasha Mccracken |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 6407 Stanbrough Ln, Dallas, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023852423
- Provider Enumeration Date: 06/20/2024
- Last Update Date: 06/20/2024
Medical Identifiers
Medical identifiers for Latasha Mccracken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023852423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | VET009613 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latasha Mccracken is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latasha Mccracken,
6407 Stanbrough Ln,
Dallas, GA 30157-6557
Ph: (678) 628-2198 | Latasha Mccracken,
6407 Stanbrough Ln,
Dallas, GA 30157-6557
Ph: (678) 628-2198 |
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