Healthcare Provider Details

I. General information

NPI: 1972901288
Provider Name (Legal Business Name): LATOYA MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 PEACHTREE DUNWOODY RD STE 125
ATLANTA GA
30328-6773
US

IV. Provider business mailing address

6600 PEACHTREE DUNWOODY RD STE 125
ATLANTA GA
30328-6773
US

V. Phone/Fax

Practice location:
  • Phone: 866-587-9922
  • Fax:
Mailing address:
  • Phone: 866-587-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: