Provider Demographics
NPI:1124372081
Name:PREYER, LATORIA
Entity Type:Individual
Prefix:MISS
First Name:LATORIA
Middle Name:
Last Name:PREYER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:TORIE
Other - Middle Name:
Other - Last Name:PREYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2351 NEW SALEM TRCE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4757
Mailing Address - Country:US
Mailing Address - Phone:404-654-0511
Mailing Address - Fax:
Practice Address - Street 1:2351 NEW SALEM TRCE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4757
Practice Address - Country:US
Practice Address - Phone:404-654-0511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health