Fyne, Latanya P.

Fyne, Latanya P. is an individual health care provider with primary practice located at 1710 Central Ave. , Augusta GA 30904-5850. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Fyne, Latanya P. can be contacted via phone (706) 373-4402.

Contact Information

Primary practice address
1710 Central Ave. Augusta GA 30904-5850
Phone: (706) 373-4402
Fax: (706) 364-8628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000619 Georgia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000619 Georgia

Profile Details

NPI number 1275643710
LBN Legal business name Fyne, Latanya P.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275643710 NPPES
South Carolina MEDICAID GPD619

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