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NPI Code Detail

MEDICARE: RENE LATONI MD

MEDICARE:   RENE  LATONI  MD
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
1207Q00000XFamily Medicine Physician032227GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851353098
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE LATONI MD
Provider Business Mailing Address
First Line : 2098 TERON TRCE
Second Line : STE 150
City : DACULA
State : GA
Zip : 30019-1662
Country : US
Telephone Number : 678-730-1620
Fax Number : 678-730-0858
Provider Business Practice Location Address
First Line : 2098 TERON TRCE
Second Line : STE150
City : DACULA
State : GA
Zip : 30019-1662
Country : US
Telephone Number : 678-730-1620
Fax Number : 678-730-0858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 09/29/2020

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Directions to “ RENE LATONI MD” Practice Location

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