Individual
MS. LATONYA ROCHELLE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2523 DELANEY AVE, WILMINGTON, NC 28403-6003
(910) 763-5522
(910) 763-0413
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01853
NC
Other
Enumeration date
10/28/2010
Last updated
05/27/2021
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