SearchGeorgia253Z00000X

Latonya Berry

NPI 1871273615 · on the registry since 2023 · sole proprietor

Practice

Address
4637 Vienna Church Rd Lot 1
Valdosta, GA 31605
Phone
(229) 630-5878

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia