Provider Demographics
NPI:1457237760
Name:WILLIAMS, LATONYA L
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 E BUTLER RD #O820
Mailing Address - Street 2:782 E BUTLER RD #O820
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-3247
Mailing Address - Country:US
Mailing Address - Phone:330-835-7418
Mailing Address - Fax:
Practice Address - Street 1:782 E BUTLER RD #O820
Practice Address - Street 2:782 E BUTLER RD #O820
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-3247
Practice Address - Country:US
Practice Address - Phone:330-835-7418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No177F00000XOther Service ProvidersLodging