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NPI Code Detail

MEDICARE: MRS. LATONYA ROENA ADAMS RN

MEDICARE: MRS. LATONYA ROENA ADAMS RN
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
1163WC1500XCommunity Health Registered NurseRN.211869SC

General Provider Information

NPI Number : 1841325909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LATONYA ROENA ADAMS RN
Provider Business Mailing Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3164
Fax Number :
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 04/13/2015

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Directions to “ MRS. LATONYA ROENA ADAMS RN” Practice Location

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