Healthcare Provider Details

I. General information

NPI: 1699612218
Provider Name (Legal Business Name): ISABELLA ADRIANA LOFFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 WASHINGTON RD
AUGUSTA GA
30907-4196
US

IV. Provider business mailing address

5103 CAPTAIN DR
GROVETOWN GA
30813-1272
US

V. Phone/Fax

Practice location:
  • Phone: 706-471-0603
  • Fax:
Mailing address:
  • Phone: 786-738-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: