Individual
LATONIA ADAMS DAVIS PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 HEADS AVE, AMERICUS, GA 31709-3616
(229) 931-2494
Mailing address
PO BOX 5054, CORDELE, GA 31010-5054
(313) 282-4411
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN279226
GA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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