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NPI Code Detail

MEDICARE: LATONYA M ANDREWS

MEDICARE: LATONYA M ANDREWS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityOTA000811GA

General Provider Information

NPI Number : 1447594726
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATONYA M ANDREWS
Provider Business Mailing Address
First Line : 4482 WESTMINSTER DR
Second Line :
City : ELLENWOOD
State : GA
Zip : 30294-3794
Country : US
Telephone Number : 404-432-0871
Fax Number :
Provider Business Practice Location Address
First Line : 4482 WESTMINSTER DR
Second Line :
City : ELLENWOOD
State : GA
Zip : 30294-3794
Country : US
Telephone Number : 404-432-0871
Fax Number :
Authorized Official
Title or Position : CERTIFIED OCCUPATIONAL THERAPY ASS
Name : MRS. LATONYA MICHELLE ANDREWS
Credential : COTA/L
Telephone Number : 404-728-6528
Provider Enumeration Date : 11/27/2012
Last Update Date : 05/23/2014

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Directions to “LATONYA M ANDREWS ” Practice Location

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