NPI 1003190455

Latoya Pulliam Bexley, NP

Practitioner Family Nurse Practitioner Carrollton, GA

Practice location

Address: 905 Dixie St, Carrollton, GA 30117-4408
Phone: (678) 796-0681
Fax: (770) 836-8477
Mailing address: 122 Zachary Dr, Carrollton, GA 30117-8608

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN-NP159472 (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1003190455
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2011
Record last updated: 10 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.