Individual
LATONYA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 S RHODES ST STE C, WEST MEMPHIS, AR 72301-4213
(870) 394-4387
(870) 394-9751
Mailing address
200 S RHODES ST STE C, WEST MEMPHIS, AR 72301-4213
(870) 394-4387
(870) 394-9751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243844
VA
207R00000X
Internal Medicine Physician
Primary
48375
TN
208000000X
Pediatrics Physician
0101243844
VA
208M00000X
Hospitalist Physician
48375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00685257
RR MEDICARE
VA
Enumeration date
04/12/2007
Last updated
04/23/2024
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