Individual
DR. LATANYA P. FYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1710 CENTRAL AVE., AUGUSTA, GA 30904-5850
(706) 373-4402
(706) 364-8628
Mailing address
1710 CENTRAL AVE., AUGUSTA, GA 30904-5850
(706) 373-4402
(706) 364-8628
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000619
GA
213ES0131X
Foot Surgery Podiatrist
000619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPD619
—
SC
Enumeration date
08/30/2006
Last updated
04/04/2013
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