Individual
LATOYA A WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 LAKEMOORE CT, DOUGLASVILLE, GA 30134-6068
(312) 757-0600
Mailing address
49 LAKEMOORE CT, DOUGLASVILLE, GA 30134-6068
(312) 757-0600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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