Individual
LATONJA M. IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1001 STADIUM DRIVE, STE 104, WAKE FOREST, NC 27587
(919) 623-5939
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004-01519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900011
—
NC
Enumeration date
01/09/2007
Last updated
06/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us