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1366742090
LATONYA ROCHELLE BEATTY
WILMINGTON, NC
NPI
1366742090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2019-01853)
Enumeration Date
2010-10-28
Last Update Date
2021-05-27
Business Address
Ms. LATONYA ROCHELLE BEATTY MD
2523 DELANEY AVE
WILMINGTON, NC 28403-6003
Phone number: 910-763-5522
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Mailing Address
Ms. LATONYA ROCHELLE BEATTY MD
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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